PONTE VEDRA CONCIERGE MEDICINE DIRECT PRIMARY CARE PATIENT AGREEMENTMedicare Patient Agreement • August 29th, 2024 • Florida
Contract Type FiledAugust 29th, 2024 JurisdictionThis DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT HEALTHCARE SERVICES, LLC, a Florida limited liability company, DBA PONTE VEDRA CONCIERGE MEDICINE (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, RICHARD TOWNSEND, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).