Membership AgreementMembership Agreement • March 28th, 2021 • Arizona
Contract Type FiledMarch 28th, 2021 JurisdictionThis is an Agreement between HEALTH FROM HOME, P.L.L.C., an Arizona Professional Limited Liability Company, located at 4138 W Whispering Pine Ln. Elfrida, Arizona 85610 (HEALTH FROM HOME), Jason Steinberg FNP-C (Advanced Practice Registered Nurse [APRN]) in his capacity as an agent of HEALTH FROM HOME, and you, (Patient).