Pediatrics, PLLC Member Agreement Sample Contracts

DOVE PEDIATRICS, PLLC MEMBER AGREEMENT
Pediatrics, PLLC Member Agreement • March 24th, 2023

• Dove Pediatrics, PLLC is a Direct Primary Care (DPC) practice, which delivers pediatric primary care services by Dr. Jacquelyn Burnett, MD at 3280 Henderson Dr., Jacksonville, NC, 28546. In exchange for monthly membership fees, Dove Pediatrics agrees to provide the Patient(s) named below with the Services described in the Services Guide on the terms and conditions contained in this Agreement.

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