DIRECT PRIMARY CARE/FUNCTIONAL MEDICINE PATIENT AGREEMENTDirect Primary Care/Functional Medicine Patient Agreement • September 25th, 2021 • Arizona
Contract Type FiledSeptember 25th, 2021 JurisdictionThis 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).