ContractServices Agreement • September 26th, 2019 • Indiana
Contract Type FiledSeptember 26th, 2019 JurisdictionPatient acknowledges that execution of this Services Agreement is an application to join Brengle Family Medicine, LLC, medical practice as a patient. Brengle Family Medicine, LLC, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Brengle Family Medicine, LLC, this Agreement shall govern the ensuing business relationship.