Sample Patient Participation AgreementPatient Participation Agreement • March 22nd, 2012
Contract Type FiledMarch 22nd, 2012Thank you for choosing to be a part of the new Intensive Outpatient Care Program at [Clinic Name]. As a select member in this Program, you are part of an innovative health care program designed to provide more intensive primary care support to patients with complex health care needs, with an overall goal of improving the well-being of those patients. The purpose of this document is to describe expectations and obtain agreement for participation in the Program to ensure a clear understanding of the responsibilities of both the patient and clinic to create a solid and open relationship between both parties.