Common Contracts

ADVANCED PRIMARY CARE, LLC PATIENT AGREEMENT

Patient Agreement • October 20th, 2021 • Kentucky

• Contract Type
  Patient Agreement
• Filed
  October 20th, 2021
• Jurisdiction
  Kentucky

This is an Agreement between ADVANCED PRIMARY CARE, L.L.C., a Kentucky professional corporation, located at 1243 Wilkerson Street, Flatwoods, KY 41139, Lori McCoy, D.O., (Physician) in her capacity as an agent of Advanced Primary Care, and you, (Patient), (Date) .