PATIENT AGREEMENTPatient Agreement • September 24th, 2021 • Colorado
Contract Type FiledSeptember 24th, 2021 JurisdictionThis is an Agreement between NuMed Primary Care, PLLC, a Colorado professional liability company, located at 470 Yarrow Place, Castle Pines, Co 80108 (NuMed), Adam J. Courchaine, PA-C, (Provider) in his capacity as an agent of NuMed, and you, (Patient).