Common Contracts
1 similar Private Practice-Patient Agreement contracts
FIRSTCHOICE FAMILY MEDICINE PRIVATE PRACTICE-PATIENT AGREEMENTPrivate Practice-Patient Agreement • March 13th, 2020
This Private Practice-Patient Agreement (“Agreement”) specifies the terms and conditions under which, you, the undersigned patient (“Patient”) may participate in certain private direct health programs identified in the attached Schedule A (“Services”) offered by Thy Nguyen MD LLC d/b/a FirstChoice Family Medicine (“Practice”). (Patient and Practice are referred to individually as “Party” or collectively as “Parties”).
