Common Contracts

2 similar Patient Agreement contracts

CHARLOTTESVILLE DIRCT PRIMARY CARE PATIENT AGREEMENT
Patient Agreement • January 27th, 2021 • Virginia

This is an Agreement entered into on , 20 , between CHARLOTTESVILLE DIRECT PRIMARY CARE, a Virginia professional limited liability company located at 423 8th St. NE, Charlottesville, VA 22902 (Charlottesville Direct Primary Care, Practice, We or Us), Rebecca Downey, D.O., and Lindsey Neal, M.D., (Physicians) in their capacity as agents of Charlottesville Direct Primary Care, and

CHARLOTTESVILLE DIRCT PRIMARY CARE PATIENT AGREEMENT
Patient Agreement • December 6th, 2019 • Virginia

This is an Agreement entered into on , 20 , between CHARLOTTESVILLE DIRECT PRIMARY CARE, a Virginia professional limited liability company located at 423 8th St. NE, Charlottesville, VA 22902 (Charlottesville Direct Primary Care, Practice, We or Us), Rebecca Downey, D.O., and Lindsey Neal, M.D., (Physicians) in their capacity as agents of Charlottesville Direct Primary Care, and