Common Contracts

PATIENT MEMBERSHIP AGREEMENT

Patient Membership Agreement • January 29th, 2024

• Contract Type
  Patient Membership Agreement
• Filed
  January 29th, 2024

Enlightened Family Medicine, LLC (“Practice”) and , (“Patient”) enter into this Direct Primary Care Membership Agreement (“Membership Agreement”) with the Effective Date as stated in Section 1(c) for Patient to become a member of Practice’s Direct Primary Care Program. Practice and Patient are referred to herein collectively as the “Parties.”