ContractPatient Member Agreement • February 3rd, 2023 • Oregon
Contract Type FiledFebruary 3rd, 2023 JurisdictionThis PATIENT MEMBER AGREEMENT (this “Agreement”) sets forth the terms and conditions pursuant to which you (“you” or “Patient”) will become a patient member of Ancora Counseling and Therapy Services, LLC, DBA Ancora Wellness (Ancora) under the Ancora Wellness Membership.
ContractPatient Member Agreement • February 3rd, 2023 • Oregon
Contract Type FiledFebruary 3rd, 2023 JurisdictionThis PATIENT MEMBER AGREEMENT (this “Agreement”) sets forth the terms and conditions pursuant to which you (“you” or “Patient”) will become a patient member of Ancora Counseling and Therapy Services, LLC, DBA Ancora Wellness (Ancora) under the Ancora Wellness Membership.