Common Contracts

1 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • August 2nd, 2020 • Florida

This is an Agreement entered into on , 20 , between TMMD, LLC dba Total Family Wellness, a Florida Limited Liability Company (hereinafter known as the Practice, TFW, Us, or We), and (hereinafter known as Patient, You, or Your). In consideration of the mutual promises set forth below, this Agreement between the Practice and the Patient (the “parties) will become effective on the date the Agreement is signed by the Patient and payment is received.

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