Common Contracts

3 similar Direct Primary Care Patient Agreement contracts

DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Patient Agreement • January 6th, 2020 • Oregon

This is an Agreement between Jinnah Internal Medicine, LLC (Practice), Dr. Shehzad Jinnah, M.D. (Dr. Jinnah), and (Patient or Patient’s Representative for Patient, or You or Your).

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DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Patient Agreement • June 27th, 2019 • Oregon

This is an Agreement between Jinnah Internal Medicine, LLC (Practice), Dr. Shehzad Jinnah, M.D. (Dr. Jinnah), and (Patient or Patient’s Representative for Patient, or You or Your).

DIRECT PRIMARY CARE PATIENT AGREEMENT
Direct Primary Care Patient Agreement • April 10th, 2019 • Oregon

This is an Agreement between Jinnah Internal Medicine, LLC (Practice), Dr. Shehzad Jinnah, M.D. (Dr. Jinnah), and (Patient or Patient’s Representative for Patient, or You or Your).

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