Common Contracts

Patient Membership Agreement

Patient Membership Agreement • February 17th, 2022 • Georgia

• Contract Type
  Patient Membership Agreement
• Filed
  February 17th, 2022
• Jurisdiction
  Georgia

This agreement is made effective on the date set forth on the signature page and is an agreement between, Erinn R. Harris MD, PC (“Harris Internal Medicine”) and the patient identified on the signature page (“you and/or member and/or patient”).