Common Contracts

1 similar Opt-Out Agreement contracts

Randi Cohen, MD, PhD 1698 Post Road East Suite 2A
Opt-Out Agreement • August 8th, 2024

This agreement is between Dr. Randi Cohen (Physician”), whose principal place of business is 1698 Post Road East Suite 2A, Westport, CT, 06880, and patient (“Patient”), who resides at

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