Membership Program Application

Med Center Health offers a variety of membership programs to help you achieve and maintain a healthy lifestyle. The Women’s Center and Men’s Health Alliance are each designed to connect members with healthcare services and information to help you take care of your health.

A one-time fee of only $10 provides you a lifetime membership with benefits including annual health screenings for blood sugar level and lipid profile (cholesterol, HDL, LDL and triglycerides), Health & Wellness events and programs, and more.

Membership Programs

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Membership Program*
- Men's Health Alliance
- The Women's Center
Name*
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Address*
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Email*
Primary Phone*
Secondary Phone
Date of Birth*
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Membership
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Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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