Thank you!

Thank you for becoming a Supporting Practice!

Supporting Practice - Yearly

Price: $500.00

Includes Membership for up to 3 providers. $500 per year on recurring payment

Name *

First

Last

Your Email *

Email address of user(s)

List up to 3 email addresses for the users that will receive access to Pract-Us

Address *

Address Line 1

City

State / Province / Region

Are you a medical provider? *

Who is your employer? *

Are you affiliated with NCPFF? *

We agree with the mission statement of NCPFF? *

Our Mission: North Carolina Physicians for Freedom is a non-profit network of physicians, healthcare leaders and medical providers that exists to support medical freedom and patient choice. We stand for patient rights, the doctor-patient relationship, individualized patient care, informed consent, and medical privacy. We are committed to serving our patients with integrity and compassion and will advocate for the best care available.

We agree to the terms of service of NCPFF Pract-Us *

Terms of Service: You are responsible for safeguarding Your password and any activities under Your password. Do not disclose Your password to any third party. You must notify Us immediately of any breach of security or unauthorized use of Your account. You are responsible for the Content that You post to the Service, and for all activity that occurs under your account, including its legality, reliability, and appropriateness. You agree to use the Service at your own risk. NC Physicians For Freedom and its contractors will not be liable for any content, including any errors or omissions in any content, or any loss or damage of any kind incurred as a result of your use of any content or use of the Service. We may terminate or suspend Your Account immediately, without prior notice or liability, for any reason whatsoever, including without limitation if You breach these Terms of Service.

Payment Information *

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