Retroactive Effect. If patient intends this agreement to cover services rendered before the date it is Effective as of the date of first medical services.
Appears in 5 contracts
Sources: Doctor Patient Arbitration Agreement, Physician Patient Arbitration Agreement, Patient Provider Arbitration Agreement
Retroactive Effect. If patient intends this agreement to cover services rendered before the date it is Effective as of the date of the first medical services.
Appears in 3 contracts
Sources: Physician Patient Arbitration Agreement, Doctor Patient Arbitration Agreement, Doctor Patient Arbitration Agreement
Retroactive Effect. If patient intends this agreement to cover services rendered before the date it is Effective effective as of the date of first medical services.
Appears in 1 contract
Retroactive Effect. If patient intends this agreement to cover services rendered before the date it is Effective as of the date of first medical services.. Patient Initials
Appears in 1 contract
Sources: Patient Consent Agreements
Retroactive Effect. If patient Patient intends this agreement to cover services rendered before the date it is signed (including, but not limited to, emergency treatment). Effective as of the date of first medical services: 09/28/2020.
Appears in 1 contract
Retroactive Effect. If patient intends this agreement to cover services rendered before the date it is Effective signed. it is effective as of the date of first medical services.
Appears in 1 contract