For Employers | Affordable Health Care

Access to medical care has become increasingly fragmented, expensive or simply unavailable to many. DirectCareMD hopes to simplify the process. Please take a moment to complete the form below to receive additional information on DirectCareMD. We will NOT share any of your contact information with any third parties.

Please send me informtion on DirectCareMD as indicated below:

YES, I'd like to learn more about how to provide the full spectrum of Primary Care medical services to my employees and their families for $35.00 per person per month as a deductible expense to my business.

Business Name:
Contact Person:
E-mail Address:
Telephone:	-
# of Eligible Employees:
	Send me forms, I want to sign up
	Phone me to set up a meeting
	E-mail me to set up a meeting
	Notify me of a group meeting
Preferred meeting time:

Additional comments or questions:


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