DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • July 12th, 2021 • Ohio
Contract Type FiledJuly 12th, 2021 JurisdictionThis DIRECT PRIMARY CARE MEMBERSHIP AGREEMENT (this “Membership Agreement”) is made this day of , 2016 (“Effective Date”) by and between BEAVERCREEK FAMILY
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • November 3rd, 2021
Contract Type FiledNovember 3rd, 2021day of to be effective on (“Effective Date”) by and between JULIAN HEALTHCARE, LLC, an Indiana limited liability company, located at 100 W. Main Street, Cambridge City, IN (the “Practice”) and , , and (collectively referred to herein as, “Patient” as applicable).
INFINITY HEALTH, LLCDirect Primary Care Membership Agreement • May 19th, 2019 • Louisiana
Contract Type FiledMay 19th, 2019 JurisdictionOn behalf of Infinity Health, LLC, I am delighted to offer you a Membership Agreement to participate in a different kind of medical care, called Direct Primary Care, led by me, Karl N. Hanson, M.D., doing business as Infinity Health. If you agree with the provisions of this Agreement and the attachments and want to join Infinity Health, please sign below.
Direct Primary Care AgreementDirect Primary Care Membership Agreement • January 19th, 2021
Contract Type FiledJanuary 19th, 2021This is a Direct Primary Care Membership Agreement (the “Agreement”) between you (the “Member”) and Sunrise Family Medical, private medical practice located at 9300 SE 91st Ave, Suite 201, Happy Valley, OR 97086.
Preferred Family Medicine Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • May 13th, 2024
Contract Type FiledMay 13th, 2024This Preferred Family Medicine (“PFM”) Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • June 15th, 2017 • North Carolina
Contract Type FiledJune 15th, 2017 Jurisdiction
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • January 4th, 2019
Contract Type FiledJanuary 4th, 2019This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which your company will participate in.
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • May 31st, 2021
Contract Type FiledMay 31st, 2021SMG, PA will deliver healthcare services through its physician(s) and personnel at the above address in exchange for a monthly fee. The services will be described within this agreement.
ContractDirect Primary Care Membership Agreement • September 29th, 2017
Contract Type FiledSeptember 29th, 2017
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • July 6th, 2020 • New Hampshire
Contract Type FiledJuly 6th, 2020 JurisdictionThis Direct Primary Care Membership Agreement (this “Membership Agreement”) effective today (“Effective Date”) by and between Hearthside Family Health, LLC, a New Hampshire limited liability company (the “Practice”), located 109c Grove Street, Peterborough, NH or 116 South River Rd, Unit D-2, Bedford, NH and you (collectively referred to herein as “Patient” as applicable).
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • May 14th, 2022
Contract Type FiledMay 14th, 2022Welcome to a new world of healthcare and wellness, we are glad to have you as a member of Greenlake Primary Care. As part of your Direct Primary Care membership, we offer you a wide variety of services that are specifically tailored to your healthcare goals and personal values. This Agreement explains these services and how we will work together.
My Aloha Nui - Whole Person Health & Wellness Program Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • September 8th, 2020 • Hawaii
Contract Type FiledSeptember 8th, 2020 JurisdictionThis Direct Primary Care Membership Agreement (the “Agreement”) is entered into on , 20 (the “Effective Date”), between Aloha Nui DPC, LLC, a Hawai’i limited liability company, located at 69 Lanihuli Street, Hilo, Hawai’i (“Aloha Nui”), and
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • December 17th, 2020 • Utah
Contract Type FiledDecember 17th, 2020 JurisdictionThis DIRECT PRIMARY CARE MEMBERSHIP AGREEMENT (this "Membership Agreement") is agreed upon and effective on the Effective Date between with Scott Noorda D.O., PLLC, d/b/a Resolve Medical located at 640 East 700 South, Suite 201, Saint George, Utah 84790 (the "Clinic") and the Patient.
Chiropractic and Physical Therapy of Florida, LLCDirect Primary Care Membership Agreement • October 14th, 2020 • Florida
Contract Type FiledOctober 14th, 2020 JurisdictionPursuant to Section 627.27, Florida Statutes (2018), this DIRECT PRIMARY CARE MEMBERSHIP AGREEMENT (“DPC Agreement”), is entered into by and between CHIROPRACTIC AND PHYSICAL THERAPY OF FLORIDA (the “Practice”) and
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • May 3rd, 2022
Contract Type FiledMay 3rd, 2022day of , to be effective on (“Effective Date”) by and between JULIAN HEALTHCARE, LLC, an Indiana limited liability company, located at 100 W. Main Street, Cambridge City, IN 47327, (the “Practice”) and , , and
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • November 18th, 2015
Contract Type FiledNovember 18th, 2015This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the Agreement.
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • February 25th, 2020 • Mississippi
Contract Type FiledFebruary 25th, 2020 JurisdictionThis DIRECT PRIMARY CARE MEMBERSHIP AGREEMENT (herein referred to as “Membership Agreement”) made on this date (MM/DD/YYYY) by and between Vanderloo Family Medicine, PLLC (herein referred to as the “Practice”), located at 3000 Old Canton Road, Suite 240, Jackson, MS, 39216 and (herein referred to as the “Patient”).
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • January 15th, 2024 • Ohio
Contract Type FiledJanuary 15th, 2024 JurisdictionAgreement”) is made this ____day of , 2016 (“Effective Date”) by and between BEAVERCREEK FAMILY HEALTH CENTER, LLC, an Ohio limited liability company, located at 2365 Lakeview Drive, Suite C, Beavercreek, OH 45431 (the “Practice”) and (“Patient”).
CLEARWATER HEALTH DPC, PLLC CLEARWATER PACKAGE DPC PATIENT MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • December 1st, 2023
Contract Type FiledDecember 1st, 2023Clearwater Health DPC, PLLC (“Practice”) and , (“Patient”) enter into this Clearwater Package Direct Primary Care Membership Agreement (“Membership Agreement”) with the Effective Date as stated in Section 1(c) for Patient to become a member of Practice’s Direct Primary Care Program. Practice and Patient are referred to herein collectively as the “Parties.”
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • March 25th, 2021
Contract Type FiledMarch 25th, 2021This Direct Primary Care Membership Agreement is an agreement (the “Agreement”) between you (“You” or the “Member”) and Sanitas USA, Inc. (“Sanitas” or “We”) for You to enroll as a member of Sanitas’s direct primary care membership program (the “DPC Program”), beginning on the date that You electronically sign this Agreement. We are offering the DPC Program to you on behalf of your primary care provider, Sanitas Medical Center. As a Member, you will be eligible to receive the Included Services defined below.
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • July 2nd, 2021
Contract Type FiledJuly 2nd, 2021This agreement is entered into between Gerard Mazza, MD (Physician), Brian Fretwell, PA-C (Licensed Medical Provider), aka “Direct Primary Care Associates, PLLC”, a Cleveland, TN professional corporation located at 2080 Chambliss Ave, Cleveland, TN, 37312, and the member named in the agreement:
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • November 1st, 2021 • Indiana
Contract Type FiledNovember 1st, 2021 JurisdictionAgreement”) is made this day of , 20 by and between LEGACY FAMILY HEALTHCARE, LLC, in Indiana limited liability company, located at 308 S Scott St., Warsaw, IN 46580 (the “Practice”) and (the “Patient”).
This Direct Primary Care (DPC) Membership Agreement specifies the terms and conditions under which you (the “Member”) will participate in the benefits available under the West Bend Family Medicine (WBFM) Agreement.Direct Primary Care Membership Agreement • May 26th, 2021
Contract Type FiledMay 26th, 2021
ContractDirect Primary Care Membership Agreement • June 18th, 2021
Contract Type FiledJune 18th, 2021
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • July 13th, 2017 • Kentucky
Contract Type FiledJuly 13th, 2017 JurisdictionThis Direct Primary Care Membership Agreement (“Agreement”) is entered into on 2018 by and between Health Connections Direct Primary Care,
Infinity Health, LLCDirect Primary Care Membership Agreement • July 18th, 2017 • Louisiana
Contract Type FiledJuly 18th, 2017 JurisdictionOn behalf of Infinity Health, LLC, I am delighted to offer you a Membership Agreement to participate in a different kind of medical care, called Direct Primary Care, led by me, Karl N. Hanson, M.D., doing business as Infinity Health. If you agree with the provisions of this Agreement and the attachments and want to join Infinity Health, please sign below.
ContractDirect Primary Care Membership Agreement • March 2nd, 2017
Contract Type FiledMarch 2nd, 2017
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • July 21st, 2021
Contract Type FiledJuly 21st, 2021This Direct Primary Care Membership Agreement is an agreement (the “Agreement”) between you (“You” or the “Member”) and Sanitas USA, Inc. (“Sanitas” or “We”) for You to enroll as a member of Sanitas’s direct primary care membership program (the “DPC Program”), beginning on the date that You electronically sign this Agreement. We are offering the DPC Program to you on behalf of your primary care provider, Sanitas Medical Center. As a Member, you will be eligible to receive the Included Services defined below.
ContractDirect Primary Care Membership Agreement • February 28th, 2022
Contract Type FiledFebruary 28th, 2022
Kanan Medical LLCDPC AgreementDirect Primary Care Membership Agreement • July 14th, 2021 • Florida
Contract Type FiledJuly 14th, 2021 Jurisdiction(“Effective Date”) by and between Kanan Medical, a Florida limited liability company, located at 460 E. Altamonte Dr. Suite 2200 Altamonte Springs, FL 32701 (the “Practice”) and
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • February 27th, 2020 • Florida
Contract Type FiledFebruary 27th, 2020 Jurisdiction
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • September 26th, 2022
Contract Type FiledSeptember 26th, 2022Agreement”) is made this day of , 20 by and between MOUNTAINSIDE HOLISTIC CLINIC, LLC, (MHC) a Virginia limited liability company, located at 611 Floyd Highway N, Floyd VA 24091.
DIRECT PRIMARY CARE MEMBERSHIP AGREEMENTDirect Primary Care Membership Agreement • May 3rd, 2021
Contract Type FiledMay 3rd, 2021day of , 2019 to be effective on (“Effective Date”) by and between JULIAN HEALTHCARE, LLC, an Indiana limited liability company, located at 115 East Main Street, Hagerstown IN (the “Practice”) and , , and
Direct Primary Care Membership AgreementDirect Primary Care Membership Agreement • October 5th, 2015
Contract Type FiledOctober 5th, 2015This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the Agreement.
ContractDirect Primary Care Membership Agreement • May 15th, 2021
Contract Type FiledMay 15th, 2021