New Patient Agreement Sample Contracts

NEW PATIENT AGREEMENT
New Patient Agreement • November 14th, 2018 • South Carolina

This is an Agreement between New South Family Medicine, LLC, a South Carolina limited liability company, located at 1365 Broadcloth Street Suite 203, Fort Mill, SC 29715, and you,

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New Patient Agreement
New Patient Agreement • December 3rd, 2019
New Patient Agreement
New Patient Agreement • February 13th, 2017
NEW PATIENT AGREEMENT
New Patient Agreement • November 25th, 2020

Thank for your interest in becoming a patient of Oubre Medical. This document serves as an outline for what your membership will grant you access to, as well as any additional policies and details you should be aware of. If you have any questions regarding your membership or this document, you may always contact us at 512.829.1104 or admin@oubremedical.com.

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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