Common Contracts
1 similar Patient Agreement contracts
WELL PRIMARY CARE, LLC PATIENT AGREEMENTPatient Agreement • January 25th, 2021 • Delaware
This Patient Agreement is entered into by the undersigned, Well Primary Care, LLC (the “Practice”) and Ann Marie Johnson, M.D. (“Dr. Johnson”) for the purpose of the undersigned obtaining primary care medical services from Dr. Johnson and the Practice. I understand that these primary care medical services are offered subject to the following terms and conditions:
