Silver Plan Individual/Couple - Peak Family Health PLLC

Silver Membership Plan: Individual/Couple

Affordable and Flexible Healthcare

$150/month for 1-2 people + $50 one-time registration fee

Welcome to Peak Family Health! Please complete the form below to register for your membership. Your healthcare journey starts here. Once registered, you’ll have access to personalized care and flexible healthcare solutions.

Terms:

First Name:*

Last Name:*

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone Number:* Phone Number is Required

Birthdate:* Birthdate is Required

Driver’s License:* Driver’s License is Required

Email:* (this will be your username)

Password:*

Confirm Password:*

Pay Peak Family Health PLLC

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Description	Amount
Silver Plan Individual/Couple – Initial Payment	$200.00
Total	$200.00

Payment Method

Stripe

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I understand that by purchasing this membership, I am enrolling in a monthly subscription that will continue until I choose to cancel. A 30-day notice is required for cancellation, and regular charges will continue during that 30-day period.