Common Contracts

Patient Membership Agreement

Patient Membership Agreement • June 22nd, 2018 • Georgia

• Contract Type
  Patient Membership Agreement
• Filed
  June 22nd, 2018
• Jurisdiction
  Georgia

 This agreement is made effective on the date set forth on the signature page and is an agreement between, Erinn R. Harris MD, PC (“Harris Internal Medicine”) and the patient identified on the signature page (“you and/or member and/or patient”).