TARGETED MEDICAL PHARMA, INC. FORM OF PHYSICIAN PURCHASE AGREEMENTPhysician Purchase Agreement • April 22nd, 2011 • Targeted Medical Pharma, Inc. • Blank checks • California
Contract Type FiledApril 22nd, 2011 Company Industry JurisdictionThis Purchase Agreement (the “Agreement”) is made this _____ day of _____________, 20___ (the “Effective Date”) by and between ____________________________, M.D., an individual resident of the State of ___________________, doing business as _____________________________ at _____________________________________ (“Physician”) and Targeted Medical Pharma, Inc., a Delaware corporation (“TMP”), with offices at 2980 Beverly Glen Circle, Suite 301, Los Angeles, California 90077.