ContractServices Agreement • September 29th, 2021 • South Carolina
Contract Type FiledSeptember 29th, 2021 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join Ember Modern Medicine, LLC (“Ember Modern Medicine” or “Ember”) medical practice as a patient. Ember, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Ember, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • June 10th, 2021 • Alabama
Contract Type FiledJune 10th, 2021 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join JOURNEY DIRECT PRIMARY CARE LLC (“Journey DPC”) medical practice as a patient. Journey DPC, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by JOURNEY DPC, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • May 31st, 2021 • South Carolina
Contract Type FiledMay 31st, 2021 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join Ember Modern Medicine, LLC (“Ember Modern Medicine” or “Ember”) medical practice as a patient. Ember, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Ember, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • March 30th, 2021 • Minnesota
Contract Type FiledMarch 30th, 2021 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join DEPLOY HEALTH PLLC (“Deploy Health”) medical practice as a patient. Deploy Health, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Deploy Health, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • August 10th, 2020 • Michigan
Contract Type FiledAugust 10th, 2020 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join Irish Family Practice PLLC (“Irish Family Practice”) medical practice as a patient. Irish Family Practice, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Irish Family Practice, this Agreement shall govern the ensuing business relationship.