Common Contracts

1 similar Direct Primary Care/Functional Medicine Patient Agreement contracts

DIRECT PRIMARY CARE/FUNCTIONAL MEDICINE PATIENT AGREEMENT
Direct Primary Care/Functional Medicine Patient Agreement • September 25th, 2021 • Arizona

This is an Agreement between Your Wellness MD (Practice), Karla L. Birkholz (Physician) in her capacity as an agent of Your Wellness MD, and you (Patient).

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