Off Grid Doc Sample Contracts

MEDICAL WEIGHT LOSS & METABOLIC PATIENT AGREEMENT
Off Grid Doc • June 3rd, 2022 • California

The Practice delivers medical care to patients in a direct pay care, membership model (DPC), at 514857 Highway 95, Bonners Ferry, Idaho 83805. In exchange for certain periodic fees, the Practice agrees to provide the patient/member with the Medical Weight Loss services described in this Agreement, under the terms and conditions contained within and does not take on roll of a primary care provider.

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DPC PATIENT AGREEMENT
Off Grid Doc • September 21st, 2021 • Idaho

The Practice delivers primary care medicine to patients in a direct pay primary care, membership model (DPC), at 514857 Highway 95, Bonners Ferry, Idaho 83805. In exchange for certain periodic fees, the Practice to provide the patient/member with the primary care services described in this Agreement, under the terms and conditions contained within.

DPC PATIENT AGREEMENT
Off Grid Doc • April 23rd, 2021 • Idaho

The Practice delivers primary care medicine to patients in a direct pay primary care, membership model (DPC), at 514857 Highway 95, Bonners Ferry, Idaho 83805. In exchange for certain periodic fees, the Practice to provide the patient/member with the primary care services described in this Agreement, under the terms and conditions contained within.

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