Common Contracts

1 similar Personalized Care Membership Agreement contracts

Please take your time and fill out the following Member Agreement. This agreement can be completed and sent back the following ways:
Personalized Care Membership Agreement • November 28th, 2019 • Virginia

This Personalized Care Membership Agreement (this “Agreement”) is made effective as of , (the “Effective Date”) by and between the undersigned member and, if applicable, additional members listed on Schedule 1 hereto (each, a “Program Member”), and SAGAR VERMA, MD, an individual, having an address of 147 Alexandria Pike, Suite 104, Warrenton, VA 20186 (“Personalized Care Practice”; and together with Program Member(s), the “Parties”). In consideration of the mutual promises and undertakings set forth below and for other valuable consideration, receipt and sufficiency of which are hereby acknowledged by the Parties, and intending to be legally bound, the Parties hereby mutually agree, as follows:

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