Doctor-Patient Agreement Sample Contracts

Arthur Direct Care Doctor-Patient Agreement
Doctor-Patient Agreement • February 1st, 2022

This Agreement is entered into by and between Arthur Direct Care (“ADC”), a Texas Professional Association, Albert Arthur, MD (“Dr. Arthur”), and the undersigned patient (“member”). ADC is a Direct Primary Care medical practice. Dr. Arthur is an owner and primary physician of ADC. Dr. Arthur practices family medicine and delivers care on behalf of ADC at 1750 Round Rock Avenue, Suite 200, Round Rock, TX 78681, and also provides care via electronic communication and phone. In exchange for the fees set out in this Agreement, Dr. Arthur and ADC agree to provide the member the services set forth below. This agreement is entered by mutual voluntary consent.

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Doctor Patient Agreement
Doctor Patient Agreement • June 19th, 2022

• We respect your time and therefore run on time for your appointments. However, there may be times when we run late with a patient that requires more attention.

Doctor-Patient Agreement Opioid and opioid-like management of non-cancer pain
Doctor-Patient Agreement • October 21st, 2020

This agreement is designed to share information about the medications you will be taking to help with chronic pain. It will also aid you and your doctor to comply with controlled substance regulations.

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