Concierge Medicine Patient AgreementConcierge Medicine Patient Agreement • October 28th, 2019
Welcome to a new world of healthcare and wellness, we are glad to have you as a member of Peninsula Doctor. As part of your concierge medicine membership, we offer you a wide variety of services that are specifically tailored to your goals and values. This Agreement explains those services and how we will work together.
CONCIERGE MEDICINE PATIENT AGREEMENTConcierge Medicine Patient Agreement • October 4th, 2018 • Tennessee
This Concierge Medicine Patient Agreement is entered into by and between the undersigned patient(s) and Doctors Assisted Wellness, PLLC (“Practice”) and is effective as of the date of your signature.
LIVING WELL FAMILY MEDICINE CONCIERGE MEDICINE PATIENT AGREEMENTConcierge Medicine Patient Agreement • April 13th, 2016 • South Carolina
This Concierge Medicine Patient Agreement (“Agreement”) is entered into by and between the undersigned patient(s) (“You” or “Patient”)1 and Living Well Family Medicine, LLC (“Practice”) and is effective as of the date of Your signature.
