Your enrollment fee will be credited towards your first month.
Enrollment Fee
Price:
$40.00
Total
$40.00
Preferred Office Location
Neosho Office
Joplin Office
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$40
By filling out this form and submitting payment you are communicating your intention to become a Free Market Physician patient. Free Market Physician is a family practice clinic that provides primary care to patients of all ages. Of note, we do not prescribe controlled medications to incoming patients. We will contact you within one business day of this submission by phone or email to set up your first appointment. Please watch for communication from us by phone and by email. At the time of your initial visit we will provide the formal membership agreement for you to sign. This payment will be credited to your first month of membership fees. If you do not receive contact from us within one business day of submitting this form please contact us at 417-283-4953.
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