Personalized Care Program Agreement Sample Contracts

Instructions for Completing the Membership Paperwork
Personalized Care Program Agreement • June 26th, 2023 • California

This Personalized Care Program Agreement (this “Agreement”) is made effective as of , (the “Effective Date”) by and between the undersigned patient and, if applicable, additional patients listed in Schedule 1 to this Agreement (each, a “Participating Patient”), and GUNN PERSONALIZED CARE, INC., a corporation having an address of 100 E. Valencia Mesa Dr., Suite 215, Fullerton, CA 92835 (“Personalized Care Practice”). In consideration of the mutual promises and undertakings set forth below and for other valuable consideration, receipt, and sufficiency of which are hereby acknowledged by the Parties, and intending to be legally bound, the Parties hereby mutually agree, as follows:

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