Common Contracts

PATIENT PARTICIPATION AGREEMENT

Patient Participation Agreement • October 20th, 2020 • Alabama

• Contract Type
  Patient Participation Agreement
• Filed
  October 20th, 2020
• Jurisdiction
  Alabama

THIS PATIENT PARTICIPATION AGREEMENT is made and entered into as of , 2020 (the “Effective Date”) by and between Clear Medical Systems, LLC, a Delaware limited liability company (“Clear Medical”), and the undersigned individual (“Patient”).