MCCOLLUM HOMETOWN HEALTHCARE PRIVATE PRACTICE PATIENT AGREEMENTHometown Healthcare Private Practice Patient Agreement • September 15th, 2020
Contract Type FiledSeptember 15th, 2020This Private Practice Patient Agreement (“Agreement”) specifies the terms and conditions under which, you, the undersigned patient (“Patient”) may voluntarily elect to participate in the healthcare offerings offered by McCollum Hometown Healthcare, PLLC, a Tennessee limited liability company (“Practice”) which are summarized as follows: