PATIENT AGREEMENTPatient Agreement • September 17th, 2020 • Virginia
Contract Type FiledSeptember 17th, 2020 JurisdictionThe PRACTICE is a Direct Pay primary care practice (DPC), which delivers primary care services at 3998 Fair Ridge Dr., Suite 280, Fairfax, VA 22033. In exchange for certain fees, the PRACTICE, agrees to provide You with the Services described in this Agreement on the terms and conditions contained in this Agreement.