Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • July 6th, 2020 • New Hampshire
Contract Type FiledJuly 6th, 2020 JurisdictionThis Direct Primary Care Membership Agreement (this “Membership Agreement”) effective today (“Effective Date”) by and between Hearthside Family Health, LLC, a New Hampshire limited liability company (the “Practice”), located 109c Grove Street, Peterborough, NH or 116 South River Rd, Unit D-2, Bedford, NH and you (collectively referred to herein as “Patient” as applicable).
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • July 6th, 2020 • New Hampshire
Contract Type FiledJuly 6th, 2020 JurisdictionThis Direct Primary Care Membership Agreement (this “Membership Agreement”) effective today (“Effective Date”) by and between Hearthside Family Health, LLC, a New Hampshire limited liability company (the “Practice”), located 109c Grove Street, Peterborough, NH or 116 South River Rd, Unit D-2, Bedford, NH and you (collectively referred to herein as “Patient” as applicable).