Common Contracts
2 similar Patient Agreement contracts
PATIENT AGREEMENT (Weight Management) Jan Hester MD PCPatient Agreement • October 29th, 2020 • Colorado
This is an Agreement entered into on , 20__, by and between Jan Hester MD PC, a Colorado professional corporation located at 1120 E. Elizabeth St, Building G, Suite 1, Fort Collins, CO 80524 (Jan Hester MD PC), Jan Hester MD (Physician), in her capacity as an agent of Jan Hester MD PC and (Patient).
PATIENT AGREEMENTPatient Agreement • October 12th, 2020 • Colorado
This is an Agreement entered into on , 20__, by and between Jan Hester MD PC, a Colorado professional corporation located at 1120 E. Elizabeth St, Building G, Suite 1, Fort Collins, CO 80524 (Jan Hester MD PC), Jan Hester MD (Physician), in her capacity as an agent of Jan Hester MD PC and (Patient).
