Common Contracts

2 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • July 10th, 2019 • Virginia

This is an Agreement entered into on , 20 , between Vienna Primary andPreventative Medicine, a Virginia Professional Limited Liability Company (Practice, Us or We), and (Patient or You).

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PATIENT AGREEMENT
Patient Agreement • November 16th, 2017 • Virginia

This is an Agreement entered into on , 20 , between Vienna Primary and Preventative Medicine, a Virginia Professional Limited Liability Company (Practice, Us or We), and (Patient or You).

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