Direct Primary Care Agreement Sample Contracts

135N.1 Direct primary care agreements.
Direct Primary Care Agreement • December 4th, 2021
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In this article, unless the context otherwise requires:
Direct Primary Care Agreement • September 17th, 2022
EAGLE DIRECT PRIMARY CARE
Direct Primary Care Agreement • July 28th, 2020 • Pennsylvania

This agreement (the “Agreement”) specifies the terms and conditions under which you, the undersigned patient may participate in the Eagle Direct Primary Care Practice. (the “Practice”). This Agreement will become effective on the date of your signature on this Agreement (the “Effective Date”).

Contract
Direct Primary Care Agreement • September 17th, 2022
FOUNDATION HEALTH FOR DIRECT PRIMARY CARE AGREEMENT
Direct Primary Care Agreement • March 28th, 2021 • Colorado

This agreement is entered into on by and between Foundation Health, LLC, a provider network and Colorado limited liability company (the “Provider”) and

DIRECT PRIMARY CARE AGREEMENT HUDSON FAMILY MEDICINE LLC
Direct Primary Care Agreement • February 2nd, 2022 • Florida

This is an Agreement entered into on , 20 , by and between HUDSON FAMILY MEDICINE LLC, a Florida professional limited liability company, with its address at 1766 Sea Lark Lane, Suite #2, Navarre, FL 32566 (“HFM”), Janice M. Hudson, M.D. (Physician) in her capacity as owner of HFM and , (Patient)

LRB-1202/1
Direct Primary Care Agreement • January 10th, 2019
Ariz. Rev. Stat. §§ 44-1799.91 through 44-1799.96]
Direct Primary Care Agreement • October 27th, 2020
LEGISLATIVE ACTION
Direct Primary Care Agreement • May 2nd, 2017
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
Direct Primary Care Agreement • May 5th, 2020
SENATE BILL 2443
Direct Primary Care Agreement • February 1st, 2016
EAGLE DIRECT PRIMARY CARE
Direct Primary Care Agreement • September 24th, 2015 • Pennsylvania

This agreement (the “Agreement”) specifies the terms and conditions under which you, the undersigned patient may participate in the Eagle Direct Primary Care Practice. (the

Colo. Rev. Stat. §§ 6-23-101 through 6-23-105.]
Direct Primary Care Agreement • January 2nd, 2021
Terms of Agreement, Financial Policy and Your signature obligations
Direct Primary Care Agreement • February 7th, 2020

Terms of Agreement 1. This agreement does not provide health insurance coverage. It provides only the health care services specifically described in the Included Services List, with theOne Care partnerships. One Care, LLC participating clinics may make changes to the Included Services List from time to time. If any changes are made, One Care, LLC participating clinic will inform you in writing or email.2. One Care, LLC partner clinics cannot and will not bill an insurance carrier for services covered under your direct primary care (DPC) membership.3. One Care, LLC partner clinics may change membership fees. If changes are made, One Care, LLC will give you 60 days’ notice in writing or email.4. One Care, LLC may terminate membership or the Direct Primary Care program with Heaven’s Peak Health Care (HPHC) or Heart & Hands Midwifery (HHM) at any time. You will be notified in writing or email, with 30 days’ notice, of any such decisions.5. The initial 90 days or first three payments, are n

Ohio Revised Code
Direct Primary Care Agreement • April 1st, 2021
EVOLVE DIRECT PRIMARY CARE EMPLOYER AGREEMENT
Direct Primary Care Agreement • March 12th, 2021 • Maryland

This Direct Primary Care Agreement (“DPC Agreement”), dated , (“Effective Date”) is between Evolve Direct Primary Care, a Maryland limited liability company (“Evolve”), and the entity listed in the table below (“Employer Group”). Evolve and Employer Group are referred to herein, individually, as a “Party” and, collectively, as the “Parties.”

SB0685_FAV_MedChi_Direct Primary Care Agreements -
Direct Primary Care Agreement • March 1st, 2021
ADVANCED DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Agreement • September 13th, 2018

This Agreement is made between Advanced Direct Primary Care, LLC, a Florida limited liability company (“Practice”), and you (“you” or “Patient”), pursuant to Florida Statutes § 624.27. Practice offers primary care services in exchange for certain fees paid by you, subject to the terms and conditions described below.

F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
Direct Primary Care Agreement • May 27th, 2015
Appendix A: Direct Primary Care Agreements
Direct Primary Care Agreement • June 13th, 2022

Direct Primary Care Agreement (DPCA) laws provide guidance and restrictions for health care providers that establish private agreements with their patients providing specified scope of services for an established periodic fee. The laws generally establish the following:

F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
Direct Primary Care Agreement • May 5th, 2020
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South Carolina General Assembly 124th Session, 2021-2022
Direct Primary Care Agreement • April 7th, 2021
Va. Code Ann. § 54.1-2997 and § 54.1-2998.]
Direct Primary Care Agreement • May 9th, 2019
DIRECT PRIMARY CARE AGREEMENTS
Direct Primary Care Agreement • November 24th, 2020
Ind. Code §§ 25-1-10-1 through 25-1-10-5.]
Direct Primary Care Agreement • August 19th, 2020

Sec. 1. As used in this chapter, "direct primary care agreement" means a contract entered into between a primary care provider or an employer of a primary care provider and an individual patient or the patient's legal representative in which the primary care provider or the employer of the primary care provider:

DIRECT PRIMARY CARE AGREEMENT FOR INDIVIDUALS AND FAMILIES
Direct Primary Care Agreement • November 13th, 2015

We commend your decision to become a patient of Perpetual Health Direct Primary Care (or P-Care for short). Your P-Care physician and his/her staff are committed to helping you achieve your wellness and/or disease management goals.

Contract
Direct Primary Care Agreement • January 5th, 2019 • Florida

LUMADOC HEALTH, P.A. (“COMPANY”) Direct Primary Care Agreement (please print clearly) Patient’s Last Name: First: (“PATIENT”) Birth Date:

South Carolina General Assembly 122nd Session, 2017-2018
Direct Primary Care Agreement • January 23rd, 2018
Fla. Stat. § 624.27.]
Direct Primary Care Agreement • May 8th, 2019
DIRECT PRIMARY CARE AGREEMENT
Direct Primary Care Agreement • April 10th, 2020 • Iowa

This Direct Primary Care Agreement (“Agreement”) is made as of the date last signed below by and among Sana Vita Health PC, an Iowa professional corporation (“Sana Vita”); Dr. Matthew Abendroth, an Iowa-licensed physician (“Physician”); and the individual listed below as patient (“Direct Patient”).

EAGLE DIRECT PRIMARY CARE
Direct Primary Care Agreement • June 27th, 2023 • Pennsylvania

This agreement (the “Agreement”) specifies the terms and conditions under which you, the undersigned patient may participate in the Eagle Direct Primary Care Practice. (the “Practice”). This Agreement will become effective on the date of your signature on this Agreement (the “Effective Date”).

Contract
Direct Primary Care Agreement • March 22nd, 2023

I, , understand that Collier Family Medical, PLLC is a direct primary care office. CFM does not bill any third-party insurance, including Medicare and/or Medicaid. I understand that this is a private contract and will not be accepted as a “Medicaid" or “Medicare” client.

ALASKA DIRECT PRIMARY CARE AGREEMENT BETWEEN PROVIDER AND PATIENT
Direct Primary Care Agreement • October 25th, 2016

Direct Primary Care Agreement”), is by and between the direct primary care provider (“Provider”) selected upon enrollment through EverMed Services LLC (“EverMed”) and the patient (“Patient”) as named in the enrollment forms.

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