Common Contracts
3 similar American Medical Response Ambu-Care Membership Agreement contracts
American Medical Response Ambu-Care Membership AgreementAmerican Medical Response Ambu-Care Membership Agreement • September 13th, 2016
By signing the 2018-2019 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2018-2019 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2019. I understand that Medicaid patients are not permitted to enroll in this program.
American Medical Response Ambu-Care Membership AgreementAmerican Medical Response Ambu-Care Membership Agreement • September 13th, 2016
By signing the 2022-2023 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2022-2023 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2023. I understand that Medicaid patients are not permitted to enroll in this program.
American Medical Response Ambu-Care Membership AgreementAmerican Medical Response Ambu-Care Membership Agreement • September 13th, 2016
By signing the 2019-2020 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2019-2020 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2020. I understand that Medicaid patients are not permitted to enroll in this program.
