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Patient Assistance Program Patient Agreement Sample Contracts

Garrett, IN 46738 Phone: 260-357-0077 Fax: 260-357-1359 PATIENT ASSISTANCE PROGRAM PATIENT AGREEMENT
Patient Assistance Program Patient Agreement • October 20th, 2020

As a service to our patients, St. Martin’s Healthcare will work on your behalf to obtain your medications through the Pharmaceutical Companies that make them. Not all of your medications may be available.

Standard Contracts