Common Contracts

1 similar Service Retainer Agreement contracts

Contract
Service Retainer Agreement • September 18th, 2017

Medical Transformation Center Carl D. Paige, M.D.P.O Box 987Pewee Valley, KY 40056 Phone 859-935-0626 OPTIMIZE Service Retainer Agreement This agreement dated is made between (patient) and Medical Transformation Center (MTC). Duration of this agreement is for 12(twelve) consecutive months. Services Included are limited to:• Clinical supervision and management of my MTC Wellness Management Program• One (1) Annual Comprehensive Preventive-Wellness Consultation• 3 scheduled provider contacts (office appointment, video or audio conference)• Medication management and refills for medicines prescribed by this practice• Laboratory test interpretation for tests requested by this practice• Reasonable access by portal message or telephone for non-emergent matters related to my MTC-Wellness Management Program Services Not Included:• All clinical services not directly a part of my Program• Acute, urgent, emergent, and inpatient medical care• Primary Care medical services• Management of Prescription

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