PATIENT AGREEMENTPatient Agreement • May 6th, 2021 • Florida
Contract Type FiledMay 6th, 2021 JurisdictionThis 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”):
PATIENT AGREEMENTPatient Agreement • April 16th, 2021 • Florida
Contract Type FiledApril 16th, 2021 JurisdictionThis 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”):