Health and Wellness Program Sample Contracts

MEMBERSHIP AGREEMENT
Health and Wellness Program • February 25th, 2023

This patient membership agreement (the “agreement”) specifies the terms and conditions under which you the undersigned patient (“Patient”) may participate in the program (“Program”) offered by “My Doctor & Me” and your physician. This agreement will become effective either on the date your physician commences the program or the date of your signature on this Agreement, whichever is later (the “Effective Date”).

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