Common Contracts

OSTEOPATHIC MANIPULATIVE TREATMENT ONLY PATIENT AGREEMENT

Osteopathic Manipulative Treatment Only Patient Agreement • April 14th, 2021 • New York

• Contract Type
  Osteopathic Manipulative Treatment Only Patient Agreement
• Filed
  April 14th, 2021
• Jurisdiction
  New York

This is an Agreement between Buffalo Wholesome Medicine, PLLC. Buffalo Wholesome Medicine, a New York PLLC, located at 8201 Main Street Suite 8, Williamsville, New York, 14221, Maritess G. Asumen, DO and Michael F. Jaje (“Physician” or “Physicians”) in their capacity as an agent of Buffalo Wholesome Medicine, PLLC. and you,