• Membership

  • Dr. Johnson: $200 a month or $2,160 a year per child

    Dr. Bailen: $180 a month or $1,944 a year per child

    Dr. Peek: $180 a month or $1,944 a year per child

    Family plan: $500 a month maximum

    Plus a $150 one-time enrollment fee per family.

  • Choose your pediatrician*
  • Membership type*
  • Membership type*
  • Membership type*
  • Preferred location*

  • Parent

  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Children

  • How many children are you enrolling?*

  • Child 1

  • Child's date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender assigned at birth*

  • Child 2

  • Child's date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender assigned at birth*

  • Child 3

  • Child's date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender assigned at birth*

  • About you

  • Are you part of a company billing plan?*

  • Consent and terms

  • Patient acknowledgments

  • Read the terms of service

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: