Common Contracts
1 similar null contracts
Equilibrium^2 Holistic Health, PLLC: Provider-Patient AgreementNovember 5th, 2020
This Agreement is entered into by and between Equilibrium^2 Holistic Health, PLLC (“Eq2”), a Texas Professional Association, Ryan Fowler, MD (“Dr. Fowler”) and Kelli Dudley, FNP-C (“Kelli Dudley”), and the undersigned patient (“Member”). Eq2 is a Direct Primary Care medical practice. Dr. Fowler and Kelli Dudley are the owners and primary providers of Eq2. Dr. Fowler and Kelli Dudley practice family medicine and deliver care on behalf of Eq2 at 6270 W. Adams, Temple, Texas 76502, and also provides care via electronic communication and home visits. In exchange for the fees set out in this Agreement, Dr. Fowler and Kelli Dudley at Eq2 agree to provide Member the services set forth below. This agreement is entered by mutual voluntary consent.
