Common Contracts

ASSUMPTION OF RISK, RELEASE AND INDEMNITY AGREEMENT Minor

Assumption of Risk, Release and Indemnity Agreement • January 21st, 2020 • Washington

• Contract Type
  Assumption of Risk, Release and Indemnity Agreement
• Filed
  January 21st, 2020
• Jurisdiction
  Washington

Name of pediatrician/primary care doctor Phone Number Insurance Co and Plan Name Group Name/Number Member Name Member ID Number