RETAINER MEDICAL AGREEMENT BETWEEN PROVIDER AND PATIENTRetainer Medical Agreement • September 10th, 2020
RETAINER MEDICAL AGREEMENT BETWEEN PROVIDER AND PATIENTRetainer Medical Agreement • June 11th, 2020
PATIENT (the “Retainer Medical Agreement”), is by and between the direct primary care provider (“Provider”) selected upon enrollment through EverMed Services LLC (“EverMed”) and the patient (“Patient”) as named in the enrollment forms.
Retainer Medical AgreementRetainer Medical Agreement • October 21st, 2020 • Oregon
This is an Agreement between Deschutes Family Care, an Oregon LLC, located at 1345 NW Wall Street Suite 302, Bend OR 97703 (DFC), Mark E. Gonsky, D.O. (Physician) in capacity as an agent of Deschutes Family Care, and you, (Patient(s)).
