PRIVATE CONTRACT AGREEMENT – MEDICARE PARTICIPANTSPrivate Contract Agreement • November 3rd, 2010
Contract Type FiledNovember 3rd, 2010The purpose of this contract is to ensure your understanding that the health care providers at the Wycoff Wellness Center have “opted out” of Medicare participation and by receiving services at the Wycoff Wellness Center you have entered into a private contract with the Wycoff Wellness Center. As such, we request that you read this document thoroughly prior to receiving any medical care at our location.