Common Contracts

PATIENT AGREEMENT

Patient Agreement • October 24th, 2021 • Pennsylvania

• Contract Type
  Patient Agreement
• Filed
  October 24th, 2021
• Jurisdiction
  Pennsylvania

This is an Agreement between Gentile Family Direct Primary Care, LLC. (Practice), a Pennsylvania LLC, located at 5655 Bryant Street, Pittsburgh, PA 15206. Natalie Gentile, MD (Physician) in her capacity as an agent of Gentile Family Direct Primary Care, LLC. and you, (Patient).