EPISODIC CARE PATIENT AGREEMENTEpisodic Care Patient Agreement • March 6th, 2023 • Utah
Contract Type FiledMarch 6th, 2023 JurisdictionThis is an Agreement between Blake Family Medicine, PC. (Practice), a Utah Professional Corporation located at Provo, Utah, Jaren Blake, MD (Physician) in his capacity as an agent of Blake Family Medicine, PC and you, (Patient).