ProPartners Healthcare, P.A.
Direct Primary Care Member Agreement
Member Information Sheet
By selecting the "Submit" button above, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Submit" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide PPHC with instructions via this online Agreement, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature, acceptance and agreement as if actually signed by you in writing.
The monthly Membership Fee is based on age at beginning of month:
|Member age||Under 20||20s||30s||40s||50s||60s||70+|