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Join Direct Primary Care - Become a Member

This form is for joining us as a monthly member of our Direct Primary Care program.  Please make sure to review our membership info in the links provided.  Please know that while we have numerous amazing perks above and beyond your traditional doctor's office, we do not currently accept insurance.  Please allow up to 48 hours for a response from one of our team members to enroll. Thank you
Please Note: Functional Medicine and Hormone programs are available. You may learn more about those and fill out those forms to be contacted as soon as possible.

* For your security, kindly do not send personal medical information with this form.

Referral (Indicate Name), Internet Search, Facebook, Instagram, Other Social Media, Natural Awakenings Magazine, Lake Norman Woman Magazine, Driving By, Other please specify ...

Other Services
In addition to our paid Direct Primary Care memberships, we also have numerous other services to help support health and wellbeing. Please check below if you are interested in any of our other services.

By submitting this form, you agree that you have read over all the information regarding Direct Primary Care.​

Thank you.

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