Common Contracts

Patient Agreement

Patient Agreement • April 6th, 2021 • Florida

• Contract Type
  Patient Agreement
• Filed
  April 6th, 2021
• Jurisdiction
  Florida

This is an Agreement between Prose Medical a Florida professional corporation, located at 4530 S. Orange Blossom Trail #735 (Prose Medical) , Kristamarie Collman, MD (Physician) in her capacity as an agent of Prose Medical, and you, (Patient).