Common Contracts

1 similar New Patient Agreement contracts

NEW PATIENT AGREEMENT
New Patient Agreement • April 15th, 2020 • North Carolina

David Bruce Mabry, M.D. and any subsequent medical doctor engaged by MyMD Direct, PLLC, who specializes in internal medicine, will deliver medical care on behalf of MyMD Direct, PLLC, at the address set forth above (each a “Physician” and collectively the “Physicians”). In exchange for certain fees paid by You, MyMD Direct, PLLC, by and through its Physician(s), agrees to provide Patient with the Services described in this Agreement on the terms and conditions set forth in this Agreement.

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