Common Contracts
1 similar Medicare Patient Agreement contracts
PONTE VEDRA CONCIERGE MEDICINE DIRECT PRIMARY CARE PATIENT AGREEMENTMedicare Patient Agreement • October 17th, 2024 • Florida
This DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT HEALTHCARE SERVICES, LLC, a Florida limited liability company, DBA PONTE VEDRA CONCIERGE MEDICINE (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, RICHARD TOWNSEND, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).
