Common Contracts

2 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • May 6th, 2021 • Florida

This is an Agreement between Fort Myers DPC, L.L.C., (“Fort Myers DPC”), a Florida professional corporation, located at 4755 Summerlin Rd, For Myers, 33919, Florida, Nadezhda Gonzalez MD and Kivit Lima MD, (collectively “Physicians” and singularly “Physician”) in their capacity as agents of Fort Myers DPC, and you, Patient (“patient” or “you”):

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PATIENT AGREEMENT
Patient Agreement • April 16th, 2021 • Florida

This is an Agreement between Fort Myers DPC, L.L.C., (“Fort Myers DPC”), a Florida professional corporation, located at 4755 Summerlin Rd, For Myers, 33919, Florida, Nadezhda Gonzalez MD and Kivit Lima MD, (collectively “Physicians” and singularly “Physician”) in their capacity as agents of Fort Myers DPC, and you, Patient (“patient” or “you”):

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