Andrew W. Garner, MD Adirondack Direct Primary Care, PLLCPatient Care Agreement • February 10th, 2021 • New York
Contract Type FiledFebruary 10th, 2021 JurisdictionThis is an Agreement entered into on 20 , by and between ADIRONDACK DIRECT PRIMARY CARE, PLLC with its address at 8 HARRISON AVENUE, GLENS
Andrew W. Garner, MD Adirondack Direct Primary Care, PLLC Glens Falls, NY 12801Patient Care Agreement • November 22nd, 2020 • New York
Contract Type FiledNovember 22nd, 2020 JurisdictionThis is an Agreement entered into on _______________________________20____, by and between ADIRONDACK DIRECT PRIMARY CARE, PLLC with its address at 8 HARRISON AVENUE, GLENS FALLS, NY 12801, ANDREW W GARNER M.D. (Physician) in his capacity as owner of ADIRONDACK DIRECT PRIMARY CARE, PLLC (further referenced as ADPC) and ____________________________________, Date of Birth: _______/______/_____ (Patient) starting January 1, 2021.