Dove Pediatrics, PLLC Member Agreement Sample Contracts

DOVE PEDIATRICS, PLLC MEMBER AGREEMENT
Dove Pediatrics, PLLC Member Agreement • April 18th, 2023

• Dove Pediatrics, PLLC is a Direct Primary Care (DPC) practice, which delivers pediatric primary care services by Dr. Jacquelyn Burnett, MD at 3280A Henderson Dr., Jacksonville, NC, 28546. In exchange for monthly membership fees, Dove Pediatrics agrees to provide the Patient(s) named below with the Services described in the Services Guide on the terms and conditions contained in this Agreement.

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DOVE PEDIATRICS, PLLC MEMBER AGREEMENT
Dove Pediatrics, PLLC Member Agreement • April 18th, 2023

• Dove Pediatrics, PLLC is a Direct Primary Care (DPC) practice, which delivers pediatric primary care services by Dr. Jacquelyn Burnett, MD at 200 Doctors Dr, Suite B, Jacksonville, NC, 28546. In exchange for monthly membership fees, Dove Pediatrics agrees to provide the Patient(s) named below with the Services described in the Services Guide on the terms and conditions contained in this Agreement.

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