Common Contracts

PATIENT AGREEMENT

Patient Agreement • October 1st, 2022 • Pennsylvania

• Contract Type
  Patient Agreement
• Filed
  October 1st, 2022
• Jurisdiction
  Pennsylvania

This is an Agreement entered into on _Click or tap here to enter text._, 20_Click or tap here to enter text._, between NRG Health Direct Primary Care, a Pennsylvania Corporation (Clinic, Provider, CRNP, Us or We), and _Click or tap here to enter text._ (Patient or You).