AGREEMENT FOR NON-EMERGENCY MEDICAL TRANSPORTATIONNon-Emergency Medical Transportation Agreement • March 15th, 2014
Contract Type FiledMarch 15th, 2014This Agreement for Non-Emergency Medical Transportation (the “Agreement”) is entered into as of the date shown below between The Subscriber/Patient/Representetive whom has subscribed to the services rendered by Suria Medical Logistics (“Suria Medical Logistics”) with Suria Medical Logistics (“Suria Medical Logistics”)