Common Contracts

4 similar Direct Primary Care Patient Agreement contracts

PONTE VEDRA CONCIERGE MEDICINE DIRECT PRIMARY CARE PATIENT AGREEMENT‌
Direct Primary Care Patient Agreement • January 30th, 2025 • Florida

This DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT HEALTHCARE SERVICES, LLC, a Florida limited liability company, DBA PONTE VEDRA CONCIERGE MEDICINE (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, RICHARD TOWNSEND, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).

PONTE VEDRA CONCIERGE MEDICINE DIRECT PRIMARY CARE PATIENT AGREEMENT‌
Direct Primary Care Patient Agreement • October 17th, 2024 • Florida

This DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT HEALTHCARE SERVICES, LLC, a Florida limited liability company, DBA PONTE VEDRA CONCIERGE MEDICINE (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, RICHARD TOWNSEND, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).

PONTE VEDRA CONCIERGE MEDICINE DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Patient Agreement • August 29th, 2024 • Florida

This DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT HEALTHCARE SERVICES, LLC, a Florida limited liability company, DBA PONTE VEDRA CONCIERGE MEDICINE (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, RICHARD TOWNSEND, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).

DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Patient Agreement • August 21st, 2024 • Florida

This DIRECT PRIMARY CARE PATIENT AGREEMENT (this “Agreement”) is entered into by and among RWT Healthcare Services, LLC, a Florida limited liability company, dba Ponte Vedra Concierge Medicine (“Practice”), located at 100 Executive Way, Suite 215, Ponte Vedra Beach, FL, Richard Townsend, M.D., an individual (“Physician”) in his capacity as an agent of Practice, and the person(s) as listed on Appendix 1, attached hereto and incorporated by this reference (“Patient”).