Common Contracts

2 similar Patient Member Agreement contracts

Contract
Patient Member Agreement • February 3rd, 2023 • Oregon

This 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.

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Contract
Patient Member Agreement • February 3rd, 2023 • Oregon

This 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.

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