Common Contracts

Doctor-Patient Service Agreement

Doctor-Patient Service Agreement • July 7th, 2020 • New Hampshire

• Contract Type
  Doctor-Patient Service Agreement
• Filed
  July 7th, 2020
• Jurisdiction
  New Hampshire

This Agreement is entered into by and between Active Choice Healthcare (“ACH”), Eric Kropp MD (“Dr. Kropp”), and _, Date of Birth: _ (“Patient”). ACH is a Direct Primary Care medical practice. Dr. Kropp is the owner and primary physician of ACH. Dr. Kropp practices Family Medicine and delivers care on behalf of ACH at 13 Chenell Drive, Suite 2, Concord, NH, 03301.