ContractDirect Primary Care Enrollment Agreement • April 8th, 2020 • Pennsylvania
Contract Type FiledApril 8th, 2020 JurisdictionThis Contract for Individual and Family enrollment in Peaceful Balance Health & Wellness, L.L.C.’s direct primary care plan (hereinafter referred to as “The Plan”) is entered into this day of , 20 by and between (referred to hereinafter as “Principal Patient”) and Peaceful Balance Health & Wellness, L.L.C. with a notice address and principal place of business at 9 East High St – Rear, Carlisle, PA 17013 (referred to hereinafter as “PBHW”)