Common Contracts

1 similar Patient Agreement contracts

Contract
Patient Agreement • February 10th, 2022

This agreement is entered into by and between A1KARE HOSPICE AND PALLIATIVE CARE INC. (hereinafter called Agency) and (hereinafter called Patient.) This agreement is entered into pursuant to a desire by Patient to obtain hospice services. I request admission to A1KARE HOSPICE AND PALLIATIVE CARE INC. and understand and agree to the following conditions:

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