Envision Health Sample Contracts

PATIENT AGREEMENT
Envision Health • October 5th, 2023 • Indiana

The 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.

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PATIENT AGREEMENT
Envision Health • January 6th, 2023 • Indiana

The 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.

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