PATIENT CARE AGREEMENTPatient Care Agreement • September 26th, 2012
Contract Type FiledSeptember 26th, 2012I, , in exchange for receiving treatment and care from the Miami Institute for Joint Reconstruction, and its affiliated physicians including , M.D. (which includes all employees of the Miami Institute for Joint Reconstruction and/or of my physician), hereby acknowledge and accept the following terms (please place your initials by each paragraph):