Common Contracts

2 similar Patient Agreement contracts

PATIENT AGREEMENT – URGENT CARE
Patient Agreement • September 23rd, 2024 • Maryland

The Practice, located at 5603 Newbury St., Baltimore, MD 21209 provides urgent care medicine to its Members in a direct pay, membership model (DPC). In exchange for certain periodic fees, the Practice agrees to provide You with the Services described in this Agreement under the terms and conditions contained within.

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PATIENT AGREEMENT – PRIMARY CARE
Patient Agreement • May 16th, 2024 • Maryland

The Practice, located at 5603 Newbury St., Baltimore, MD 21209 provides ongoing primary care medicine to its Members in a direct pay, membership model (DPC). In exchange for certain periodic fees, the Practice agrees to provide You with the Services described in this Agreement under the terms and conditions contained within.

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