CLINICAL INTEGRATION PHYSICIAN PARTICIPATION AGREEMENTClinical Integration Physician Participation Agreement • March 14th, 2022 • Ohio
Contract Type FiledMarch 14th, 2022 Jurisdiction(“Agreement”) is made as of the day of , (the “Effective Date”), between Kettering Health Physician Partners, LLC (“CIN”), and [insert name of individual participating physician, physician group practice or other health care provider], and, if a physician group practice, by and on behalf of each physician or provider of the physician group practice (collectively referred to herein as “Physician(s)”), whose primary office address is