PATIENT AGREEMENTPatient Agreement • October 11th, 2011 • Kansas
Contract Type FiledOctober 11th, 2011 JurisdictionThis is an Agreement between ATLASMD CONCIERGE FAMILY PRACTICE, L.L.C., a Kansas professional corporation, located at 10500 E. Berkeley Square Parkway Suite 200, Wichita Ks 67206 (AtlasMD), Joshua J. Umbehr, M.D., and Douglas A Nunamaker, (Physicians) in their capacity as an agents of AtlasMD, and you, (Patient).