Get Marcia Johnston Wood Medicare Private Pay Contract 2015

This guide provides clear instructions for filling out the Marcia Johnston Wood Medicare Private Pay Contract online. Follow the steps outlined below to ensure that all parts of the contract are completed accurately and efficiently.

Follow the steps to complete the Medicare Private Pay Contract.

1. Press the ‘Get Form’ button to obtain the contract and open it in your preferred editing tool.
2. Begin by reviewing the introductory section, which outlines the purpose of the contract. Ensure you understand the implications of opting out of Medicare.
3. In the 'Agreed and Accepted' section, you will need to provide your signature. This signifies your agreement to the contract's terms.
4. Next, fill in the date next to your signature. This date marks the day you are entering into the contract.
5. Then print your name clearly under your signature to identify yourself as the Medicare beneficiary or legal representative.
6. If applicable, your legal representative should sign in the designated area, printing their name as well.
7. Lastly, ensure that Dr. Marcia Johnston Wood, Ph.D., has also signed and dated the contract. This confirms that the contract is fully executed.
8. Once all signatures are collected, you can save changes to the document. You may also choose to download, print, or share the form as needed.

Complete your documents online to ensure a seamless process.