Common Contracts
2 similar Direct Primary Care Patient Agreement contracts
DIRECT PRIMARY CARE PATIENT AGREEMENTDirect Primary Care Patient Agreement • March 6th, 2023 • Utah
This is an Agreement between Blake Family Medicine, PC. (Practice), a Utah Professional Corporation located at Provo, Utah, Jaren Blake, MD (Physician) in his capacity as an agent of Blake Family Medicine, PC and you, (Patient).
DIRECT PRIMARY CARE PATIENT AGREEMENTDirect Primary Care Patient Agreement • July 9th, 2022 • Utah
This is an Agreement between Blake Family Medicine, PC. (Practice), a Utah Professional Corporation located at Provo, Utah, Jaren Blake, MD (Physician) in his capacity as an agent of Blake Family Medicine, PC and you, (Patient).
