PATIENT AGREEMENTPatient Agreement • February 5th, 2022 • Utah
Contract Type FiledFebruary 5th, 2022 JurisdictionThis is an Agreement between Salt Lake Direct Primary Care, P.L.L.C. (Practice), located at 1670 East 1300 South, Suite 204, Salt Lake City, UT 84105, Robert Corson, M.D., (Physician) in their capacity as an agent of Salt Lake Direct Primary Care, P.L.L.C, and You (Patient).