Common Contracts
4 similar Services Agreement contracts
ContractServices Agreement • September 12th, 2023 • Wisconsin
Patient acknowledges that execution of this Services Agreement is an application to join BIRCHWOOD FAMILY MEDICINE LLC (“Birchwood Family Medicine”) medical practice as a patient. Birchwood Family Medicine, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Birchwood Family Medicine, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • May 17th, 2023 • Indiana
Patient acknowledges that execution of this Services Agreement is an application to join Fiat Family Medicine, LLC (“Practice name”) medical practice as a patient. Fiat Family Medicine, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Fiat Family Medicine, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • June 28th, 2021 • Wisconsin
Patient acknowledges that execution of this Services Agreement is an application to join BIRCHWOOD FAMILY MEDICINE LLC (“Birchwood Family Medicine”) medical practice as a patient. Birchwood Family Medicine, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by Birchwood Family Medicine, this Agreement shall govern the ensuing business relationship.
ContractServices Agreement • June 27th, 2021 • Rhode Island
Patient acknowledges that execution of this Services Agreement is an application to join SOLYMAR DIRECT HEALTH LLC (“SOLYMAR Direct Health”) medical practice as a patient. SOLYMAR Direct Health, in its sole discretion, may accept or reject any Patient at any time for any reason. If Patient is accepted by SOLYMAR Direct Health, this Agreement shall govern the ensuing business relationship.
