Primary Care Membership Agreement Sample Contracts

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • May 31st, 2021

SMG, PA will deliver healthcare services through its physician(s) and personnel at the above address in exchange for a monthly fee. The services will be described within this agreement.

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My Aloha Nui - Whole Person Health & Wellness Program Direct Primary Care Membership Agreement
Primary Care Membership Agreement • September 8th, 2020 • Hawaii

This Direct Primary Care Membership Agreement (the “Agreement”) is entered into on , 20 (the “Effective Date”), between Aloha Nui DPC, LLC, a Hawai’i limited liability company, located at 69 Lanihuli Street, Hilo, Hawai’i (“Aloha Nui”), and

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • November 18th, 2015

This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the Agreement.

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • July 2nd, 2021

This agreement is entered into between Gerard Mazza, MD (Physician), Brian Fretwell, PA-C (Licensed Medical Provider), aka “Direct Primary Care Associates, PLLC”, a Cleveland, TN professional corporation located at 2080 Chambliss Ave, Cleveland, TN, 37312, and the member named in the agreement:

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • November 1st, 2021 • Indiana

Agreement”) is made this day of , 20 by and between LEGACY FAMILY HEALTHCARE, LLC, in Indiana limited liability company, located at 308 S Scott St., Warsaw, IN 46580 (the “Practice”) and (the “Patient”).

DIRECT PRIMARY CARE MEMBERSHIP AGREEMENT
Primary Care Membership Agreement • July 21st, 2021

This Direct Primary Care Membership Agreement is an agreement (the “Agreement”) between you (“You” or the “Member”) and Sanitas USA, Inc. (“Sanitas” or “We”) for You to enroll as a member of Sanitas’s direct primary care membership program (the “DPC Program”), beginning on the date that You electronically sign this Agreement. We are offering the DPC Program to you on behalf of your primary care provider, Sanitas Medical Center. As a Member, you will be eligible to receive the Included Services defined below.

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • October 5th, 2015

This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the Agreement.

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • January 4th, 2019

This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which your company will participate in.

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • June 2nd, 2023

This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the agreement.

Direct Primary Care Membership Agreement
Primary Care Membership Agreement • November 26th, 2017

This Direct Primary Care Membership Agreement (the “Agreement”) specifies the terms and conditions under which you (the “Member”) and your spouse or dependents included in the Agreement will participate in the benefits available under the Agreement.

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