Common Contracts
2 similar Direct Primary Care Patient Agreement contracts
DIRECT PRIMARY CARE PATIENT AGREEMENTDirect Primary Care Patient Agreement • August 7th, 2019 • Louisiana
This is an Agreement between aLine Health, LLC (“Practice”), a Louisiana limited liability company, located at , Dr. Mary (Mandy) Crow (“Physician”). and , (“You” or “Patient”).
DIRECT PRIMARY CARE PATIENT AGREEMENTDirect Primary Care Patient Agreement • May 15th, 2019 • Louisiana
This is an Agreement between aLine Health, LLC (“Practice”), a Louisiana S-Corporation, located at 2210 Line Avenue Ste. 104 Shreveport, LA 71104, Dr. Mary (Mandy) Crow (“Physician”). and
