Common Contracts

2 similar Patient Agreement contracts

Patient Agreement
Patient Agreement • January 23rd, 2024 • Michigan

This Agreement is between Citadel Health Center, PLLC (the Practice, Us, Our or We), and the person acknowledging this consent electronically and any family members they are enrolling (Patient, Member, They or You).

Patient Agreement
Patient Agreement • January 18th, 2022 • Michigan

This Agreement is between Citadel Health Center, PLLC (the Practice, Us, Our or We), and the person acknowledging this consent electronically and any family members they are enrolling (Patient, Member, They or You).