Common Contracts

1 similar null contracts

ADVANCED ALLERGY & ASTHMA
November 1st, 2019
  • Filed
    November 1st, 2019

As either the Patient or the legally authorized representative of the Patient, the following consents, understandings, and agreement are made on my own behalf of the Patient in partial consideration of the health care services to be provided to the Patient in this Advanced Allergy & Asthma, LLC facility (“Facility”):

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