Common Contracts

1 similar Hometown Healthcare Private Practice Patient Agreement contracts

MCCOLLUM HOMETOWN HEALTHCARE PRIVATE PRACTICE PATIENT AGREEMENT
Hometown Healthcare Private Practice Patient Agreement • September 15th, 2020

This Private Practice Patient Agreement (“Agreement”) specifies the terms and conditions under which, you, the undersigned patient (“Patient”) may voluntarily elect to participate in the healthcare offerings offered by McCollum Hometown Healthcare, PLLC, a Tennessee limited liability company (“Practice”) which are summarized as follows:

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