STEADYMD NEW PATIENT AGREEMENT AND INFORMED CONSENTNew Patient Agreement and Informed Consent • December 1st, 2024
Contract Type FiledDecember 1st, 2024This New Patient Agreement (the “Agreement”), effective as of the date of the Patient’s acceptance (the “Effective Date”), is made by and between SteadyMD Physician Group, P.C., a Missouri professional corporation and its contractual affiliates (“Practice”), and the patient (the “Patient,”“You” or “I” when making affirmative statements in this Agreement).