Common Contracts

FEE-FOR-SERVICE AGREEMENT

Fee-for-Service Agreement • December 16th, 2023

• Contract Type
  Fee-for-Service Agreement
• Filed
  December 16th, 2023

THIS FEE-FOR-SERVICE AGREEMENT (“Agreement”) is entered into on , 20 , (“Effective Date”) by and between Thrive MD Las Cruces, located at 210 W Las Cruces Ave, Las Cruces, NM (“Practice”), and (“Patient”). Practice and Patient may be referred to herein collectively as the “Parties” or individually as a “Party.”