Master B2B Clinical Partnership Agreement
MDGLOBALCARE LLC — Institutional Provider Onboarding
Clinic / Facility Legal Entity Name
Medical Director NPI Number
State Medical License Number
Authorized Signatory Full Name & Title
SUMMARY TERMS:
Participant enrolls in MDGLOBALCARE Institutional Partnership Program. Services are administrative and technological under a Management Services Organization (MSO) framework. Participant maintains full independent clinical autonomy and 100% ownership over procedural fees collected from patients. MDGLOBALCARE LLC does not engage in fee-splitting. Biologics supply fulfillment operates on arms-length commercial wholesale pricing.
I represent that I am an authorized clinical officer or physician and accept the Master B2B Agreement.
Digitally Sign & Activate Institutional Account →