Common Contracts

2 similar Patient Care Agreement contracts

Andrew W. Garner, MD Adirondack Direct Primary Care, PLLC
Patient Care Agreement • February 10th, 2021 • New York

This is an Agreement entered into on 20 , by and between ADIRONDACK DIRECT PRIMARY CARE, PLLC with its address at 8 HARRISON AVENUE, GLENS

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Andrew W. Garner, MD Adirondack Direct Primary Care, PLLC Glens Falls, NY 12801
Patient Care Agreement • November 22nd, 2020 • New York

This 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.

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