PRACTICE SERVICES AGREEMENTPractice Services Agreement • July 9th, 2020
This Practice Agreement (the “Agreement”) is made as of , (“Effective Date”), by and between Comprehensive Allergy and Asthma Care, PLLC (the “Practice”) and the individual identified on the signature page (“Patient”). When signing as a legal representative of the actual patient (i.e., you are the parent or guardian of the patient), the term “Patient” will be read to include you and/or the actual patient, as applicable.
PRACTICE SERVICES AGREEMENT ADDITIONAL TERMS AND CONDITIONSPractice Services Agreement • February 11th, 2022 • New York
These terms and conditions set forth below shall be incorporated into the Practice Services Agreement Cover Sheet between SiteRx and Practice (the “Cover Sheet,” and together, the “Agreement”). The Agreement is effective as of the Effective Date on the Cover Sheet.
