Common Contracts
1 similar Patient Agreement contracts
PATIENT AGREEMENTPatient Agreement • January 16th, 2020 • Kentucky
This is an Agreement between Wild Health, LLC, a Commonwealth of Kentucky corporation, and Wild Health, LLC dba Access Med, PLLC located at 535 Wellington Way, Suite #330, Lexington, KY 40503 and 212 South 2nd Street, Danville, Kentucky, 40422 (Wild Health), David Culpepper, MD, Lauren Shipp, FNP, Jeremy Stich, MD, Phillip A. Williford, MSPAS, PA-C, and Ryan Miller, MSPAS, PA-C (Provider) in their capacity as agents of Wild Health, and you, (Patient).
