Common Contracts
2 similar Membership Agreement contracts
MEMBERSHIP AGREEMENTMembership Agreement • August 18th, 2021 • Nebraska
This Membership Agreement (“Agreement”) is between Alegent Creighton Clinic, d/b/a CHI Health Clinic (the “Clinic”) and , (the “Patient” or “You”) including any covered Family Members (defined below). The Agreement applies only to those locations operated by Clinic which participate in the DPC Program. The Agreement is intended to comply with the Nebraska Direct Primary Care Act, and describes the ongoing primary care services (“DPC Services”) that You are eligible to receive under the Clinic’s Direct Primary Care Program (“DPC Program.”). By signing this Agreement, You agree to participate in the DPC Program and comply with the terms of the DPC Program and this Agreement.
MEMBERSHIP AGREEMENTMembership Agreement • July 27th, 2020 • Nebraska
This Membership Agreement (“Agreement”) is between Alegent Creighton Clinic, d/b/a CHI Health Clinic (the “Clinic”) and , (the “Patient” or “You”) including any covered Family Members (defined below). The Agreement is intended to comply with the Nebraska Direct Primary Care Act, and describes the ongoing primary care services (“DPC Services”) that You are eligible to receive under the Clinic’s Direct Primary Care Program (“DPC Program.”). By signing this Agreement, You agree to participate in the DPC Program and comply with the terms of the DPC Program and this Agreement.
