Common use of Revocation Clause in Contracts

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 52 contracts

Samples: Intake Forms, Patient Arbitration Agreement, Arbitration Agreement

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Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 25 contracts

Samples: Arbitration Agreement, Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 24 contracts

Samples: Arbitration Agreement and Informed, Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician Physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.

Appears in 17 contracts

Samples: Patient Arbitration Agreement, Patient Arbitration Agreement, Patient Arbritration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of days, or signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 6 contracts

Samples: Arbitration Agreement, Patient Arbitration Agreement, Patient Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to all medical services rendered any time for any conditionpatient.

Appears in 5 contracts

Samples: Arbitration Agreement, Arbitration Agreement, Health Care Provider

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.

Appears in 4 contracts

Samples: familiestogetheroc.org, Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician healthcare provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 4 contracts

Samples: Arbitration Agreement, seasonsofbalance.com, seasonsofbalance.com

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionto the physician within 30 days of signature and if not revoked will govern all medical services received by the patient.

Appears in 3 contracts

Samples: Patient Arbitration Agreement, Patient Arbitration Agreement, Patient Arbitration Agreement

Revocation. This The agreement may be revoked by written notice delivered to the physician dentis within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.

Appears in 2 contracts

Samples: Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not re- voked will govern all medical services rendered any time for any conditionreceived by the patients.

Appears in 2 contracts

Samples: Arbitration Agreement, Arbitration Agreement

Revocation. This agreement Agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 2 contracts

Samples: Arbitration Agreement, Arbitration Agreement

Revocation. This agreement Agreement may be revoked by written notice delivered mailed to the physician Physician, by certified mail, within 30 days of after signature. It is the intent of this agreement to apply to , and if not revoked shall govern all medical services rendered any time for any conditionreceived by the Patient after the date of this Agreement.

Appears in 2 contracts

Samples: Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician Provider within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.

Appears in 2 contracts

Samples: Arbitration Agreement, Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to client and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 1 contract

Samples: atlantacolonicmassagespa.com

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. , It is the intent of this agreement to apply to all medical services rendered any time for of any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Vida Life Counseling Center

Revocation. This agreement may be revoked by written notice delivered to the physician assistant within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered at any time for any condition.

Appears in 1 contract

Samples: www.teresaholler.com

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 thirty days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician Physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient. .

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to client and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between parties.

Appears in 1 contract

Samples: California Arbitraton Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. , It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signatureprovider. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: www.belladermmedspa.com

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and it not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 1 contract

Samples: Arbitration Agreement

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Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signaturedays, or sig- nature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: assets.website-files.com

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signaturesignature and if not revoked will govern all professional services received by the patient and all other disputes between the parties. It is the intent of this agreement to apply to all medical services rendered any time for any condition.Article 6:

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition. .

Appears in 1 contract

Samples: Patient Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician healthcare provider within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition. If any provision of this arbitration agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and shall not be affected by the invalidity of any other provision.

Appears in 1 contract

Samples: cosmeticgynecologypasadena.com

Revocation. This agreement may be revoked by a written notice delivered to the physician health care provider within 30 days of signature. It is signature and if not revoked will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes between the parties.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply apply-to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician Doctor within 30 days of days, or signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.

Appears in 1 contract

Samples: Patient Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered mailed to the physician Physician, by certified mail, within 30 days of after signature. It is the intent of this agreement to apply to , and if not revoked shall govern all medical services rendered any time for any conditionby the Patient after the date of this Agreement.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It , it is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time at anytime for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This this agreement may be revoked by written notice delivered to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician Medical Practice within 30 days of signature. It is the intent of this agreement to apply to signature and if not revoked will govern all medical services rendered any time for any conditionreceived by the patient.

Appears in 1 contract

Samples: Patient Arbitration Agreement

Revocation. This agreement may be revoked by written notice delivered to the physician health care provider within 30 days of signature. It is signature and, if not revoked, will govern all professional services received by the intent of this agreement to apply to patient and all medical services rendered any time for any conditionother disputes be- tween the parties.

Appears in 1 contract

Samples: Arbitration Agreement

Revocation. This this agreement may be revoked by written notice delivered deliver to the physician within 30 days of signature. It is the intent of this agreement to apply to all medical services rendered any time for any condition.

Appears in 1 contract

Samples: escondidoderm.com

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