PATIENT AGREEMENTEnvision Health • October 5th, 2023 • Indiana
Contract Type FiledOctober 5th, 2023 JurisdictionThe Practice, located at 1501 S. Court Street, Suite 206, Crown Point, Indiana 46307, provides ongoing primary care services to its patients/members in a direct primary care practice model (DPC). In exchange for certain periodic fees the Practice agrees to provide the Patient with certain Services under the terms and conditions contained in this Agreement.
PATIENT AGREEMENTEnvision Health • January 6th, 2023 • Indiana
Contract Type FiledJanuary 6th, 2023 JurisdictionThe Practice, located at 1501 S. Court Street, Suite 206, Crown Point, Indiana 46307, provides ongoing primary care services to its patients/members in a direct primary care practice model (DPC). In exchange for certain periodic fees the Practice agrees to provide the Patient with certain Services under the terms and conditions contained in this Agreement.