Ready to join Family Doc Direct TODAY?  

Excellent! We are excited that you've chosen us to care for you! Please fill out this form to get started and we'll reach out with a confirmation email after your enrollment is approved.  A credit/debit card is required to complete the enrollment  (enrollment fee and the month prorated fee will be billed when we confirm your enrollment); you can start this form and complete it later and it shouldn't take more than 5-10 min.