Common Contracts

2 similar Provider Agreement contracts

PATIENT-­‐PROVIDER AGREEMENT
Provider Agreement • November 29th, 2022

Welcome and thank you for choosing our practice. Our mission is to provide you with the highest quality patient-­‐centered medical care in an environment that is nurturing, empowering, supportive and loving. We are committed to providing your child with the best medical care based on his/her health needs. Our hope is that we can form a partnership to keep your child as healthy as possible.

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PATIENT – PROVIDER AGREEMENT FORM
Provider Agreement • August 3rd, 2020

I, , the parent/guardian of the above patient(s) have read and understand the following documents that were given to me to review. I understand that these documents can be found on Reis Pediatrics website.

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