Medical Enrollment Agreement

This is the medical enrollment form. Please choose the services below that you have an interest in. After enrollment you will speak to one of our doctors, at which point they will help determine the safest and most effective course of action.

Before you can recieve medical services:

  1. Enroll for services
  2. Fill out client identification info
  3. Complete medical intake forms
  4. Consult with a doctor via Telemed appointment

Click below to affirm the following:

  • I agree to consult with a physician
  • I understand and agree that I will not recieve any services until I recieve a prescription
  • I affirm that I am at least 18 years old

8350 W Grandridge BLVD.
STE 200 #417

Kennewick, WA 99336