Common Contracts
2 similar Patient Agreement contracts
Patient AgreementPatient Agreement • December 4th, 2023 • Montana
The Practice, located at 6 East 9th Suite 302, Columbia Falls, Montana 59912, provides ongoing primary care to its Members in a direct pay care model (DPC). In exchange for certain periodic fees, the Practice agrees to provide the Member with the Services described in this Agreement under the terms and conditions contained within.
Hometown Clinic Patient AgreementPatient Agreement • October 7th, 2022 • Montana
The Practice, located at 6 East 9th Suite 302, Columbia Falls, Montana 59912, provides ongoing primary care to its Members in a direct pay care model (DPC). In exchange for certain periodic fees, the Practice agrees to provide the Member with the Services described in this Agreement under the terms and conditions contained within.
