1. Registration Fee
Please bring a check to the office to cover the $50 registration fee plus the first two months of membership. The total check amount is typically $170 for an individual, $290 for a couple and $410 for a family. (Ex. $50 reg fee + $60 1st mo + $60 2nd mo = $170 for an individual standard membership)
2. Payment Authorization Form
The Payment Authorization Form allows you to choose the type of membership you will have with The Doc Shoppe. Please print the Payment Authorization form, then complete and sign it. Bring this form with you to the office.
3. Patient Agreement
Please print the Patient Agreement form, then complete it and sign it where indicated. Bring Page 3 with you to the office.