direct family definition
Examples of direct family in a sentence
Membership fees from Kohl Direct Family Care PLLC do not cover services by outside providers.
Membership fees from ▇▇▇▇ Direct Family Care PLLC do not cover services by outside providers.
Customer(s)Name(s):__________________________________________________________ I, ________________________________, hereinafter called PATIENT, hereby authorize Kohl Direct Family Care PLLC, hereinafter called PROVIDER, to initiate debits and/or credits to or from my Bank Account indicated at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit and or credit the same to such account.
Kohl Direct Family Care has a Notice of Privacy Practices, which describes how we may use and disclose your protected health information and how you can access your protected health information and exercise other rights concerning your protected health information.
Yo, , en adelante denominado PACIENTE, por la presente autoriza a Kohl Direct Family Care PLLC, en adelante denominado PROVEEDOR, a iniciar débitos y/o créditos hacia o desde mi Cuenta Bancaria indicada en la institución financiera depositaria mencionada a continuación, en adelante denominada DEPOSITARIO, y a debitar y/o acreditar la misma a dicha cuenta.
I, , hereinafter called PATIENT, hereby authorize Kohl Direct Family Care PLLC, hereinafter called PROVIDER, to initiate debits and/or credits to or from my Bank Account indicated at the depository financial institution named below, hereinafter called DEPOSITORY, and to debit and or credit the same to such account.
In the event that, during the journey, the Insured Party must be hospitalised for a period exceeding five days and no Direct Family Member is present, EUROP ASSISTANCE shall provide a companion with a return ticket by scheduled airline (economy class), rail (first- class) or any other appropriate means of transport from the country of the Usual Place of Residence thereof.
ORIGINADOR # BANCO DEL PACIENTE: Ciudad: Estado: Código Postal.: Número de ruta: Número de cuenta: Tipo de cuenta: ☐ LA CUENTA CORRIENTE ☐ lA CUENTA DE AHORROS Esta autorización permanecerá en pleno vigor y efecto hasta que Kohl Direct Family Care PLLC haya recibido una notificación por escrito del Paciente de su terminación en el tiempo y de la manera que ▇▇▇▇▇▇ ▇ ▇▇▇▇ Direct Family Care PLLC, una oportunidad razonable para actuar en consecuencia.
ORIGINATOR # PATIENT’S Bank: City: State: Zip: Routing Number: Account Number: Account Type: ☐ CHECKING ☐ SAVINGS This authorization is to remain in full force and effect until ▇▇▇▇ Direct Family Care PLLC has received written notification from the Patient of its termination in such time and such manners as to afford ▇▇▇▇ Direct Family Care PLLC, a reasonable opportunity to act on it.
Placement in the Doctorate column requires completion of the doctorate degree.