Common Contracts

2 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • May 15th, 2021 • North Carolina

This Patient Agreement (Agreement) is between Wellspring Direct Primary Care, PLLC (the Practice, Us or We), and (Patient, Member, or You).

PATIENT AGREEMENT
Patient Agreement • February 10th, 2021 • North Carolina

This Patient Agreement (Agreement) is between Wellspring Direct Primary Care, PLLC (the Practice, Us or We), and (Patient, Member, or You).