CONCIERGE PRACTICE PATIENT AGREEMENTConcierge Practice Patient Agreement • October 1st, 2023 • Texas
, 20 , (the “Effective Date”) by and between Kevin B. Horton, M.D., FACP (“Physician”), in his capacity as Director of Kevin B. Horton, M.D., P.A. (“Practice”) and
Concierge Practice Patient AgreementConcierge Practice Patient Agreement • April 19th, 2022 • Texas
day of , 20 , (the “Effective Date”) by and among Erin A. Reese, MD (“Physician”), Erin Reese, MD, PLLC, a Texas Professional Limited Liability Company (“Practice”), and
CONCIERGE PRACTICE PATIENT AGREEMENTConcierge Practice Patient Agreement • December 4th, 2020 • Georgia
located at 410 Peachtree Parkway, Ste 4226 Cumming, GA 30041(Practice), Brent Carroll D.O, (Physician) in his capacity as an agent of Carroll Total Healthcare, and (Patient(s)).
CONCIERGE PRACTICE PATIENT AGREEMENTConcierge Practice Patient Agreement • March 11th, 2016 • California
The Physician delivers care on behalf ELLEN MCDONALD M.D. INC., at the address set forth above. In exchange for certain fees paid by You, ELLEN MCDONALD M.D. INC., through its Physician, agrees to provide Patient with the Services described in this Agreement on the terms and conditions set forth in this Agreement.
