Common Contracts

PATIENT AGREEMENT

Patient Agreement • December 31st, 2019 • Florida

• Contract Type
  Patient Agreement
• Filed
  December 31st, 2019
• Jurisdiction
  Florida

This agreement (this “Agreement”) between MEGAN WEIGEL, DNP, L.L.C. d/b/a First Coast Integrative Medicine, a Florida professional limited liability corporation (“FCIM”), located at 14215 Spartina Court, Ste 200, Jacksonville, FL, 32224 and you, (the person signing below, referred to as “You”) is effective as of the date of Your signature.

PATIENT AGREEMENT

Patient Agreement • December 30th, 2019 • Florida

• Contract Type
  Patient Agreement
• Filed
  December 30th, 2019
• Jurisdiction
  Florida

Thisagreement(this“Agreement”) between MEGANWEIGEL, DNP, L.L.C. d/b/a First Coast Integrative Medicine, a Florida professional limited liability corporation (“FCIM”), located at 14215 Spartina Court, Ste 200, Jacksonville, FL, 32224 and you, (the person signing below, referred to as “You”) is effective as of the date of Your signature.

PATIENT AGREEMENT

Patient Agreement • December 30th, 2019 • Florida

• Contract Type
  Patient Agreement
• Filed
  December 30th, 2019
• Jurisdiction
  Florida

Thisagreement(this“Agreement”) between MEGANWEIGEL, DNP, L.L.C. d/b/a First Coast Integrative Medicine, a Florida professional limited liability corporation (“FCIM”), located at 14215 Spartina Court, Ste 200, Jacksonville, FL, 32224 and you, (the person signing below, referred to as “You”) is effective as of the date of Your signature.