Common Contracts

2 similar Patient Provider Agreement contracts

Specialist – Patient Provider Agreement
Patient Provider Agreement • January 31st, 2022

We are partnering with your Primary Care Physician (PCP) who is your Patient Centered Medical Home. We are sharing their commitment to effectively and efficiently work together to manage your care. As your Specialist, we will be sharing information about your condition and provide recommendations, guidance and periodic follow-up.

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Specialist – Patient Provider Agreement
Patient Provider Agreement • September 22nd, 2017

We are partnering with your Primary Care Physician (PCP) who is your Patient Centered Medical Home. We are sharing their commitment to effectively and efficiently work together to manage your care. As your Specialist, we will be sharing information about your condition and provide recommendations, guidance and periodic follow-up.

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