This is an Agreement entered into on (date above) between Siskiyou Vital Medicine LLC and (Patient or You).Medical Retainer Agreement • April 27th, 2020 • Oregon
Contract Type FiledApril 27th, 2020 JurisdictionThe PRACTICE is a Direct Pay primary care practice (DPC), which delivers primary care services at 940 Ellendale Rd. Suite 102, Medford Oregon. In exchange for certain fees, the PRACTICE, agrees to provide You with the Services described in this Agreement on the terms and conditions contained in this Agreement.