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Concierge Medical Agreement Welcome to a new world of healthcare and wellness, we are glad to have you as a member of Peninsula Doctor. As part of your concierge medicine membership, we offer you
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How to fill out concierge medical agreement

01
Gather all necessary information such as personal details, contact information, and medical history.
02
Read through the concierge medical agreement carefully to understand the terms and conditions.
03
Fill out the agreement sections with accurate and complete information.
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Sign and date the agreement where required.
05
Ensure all parties involved have a copy of the signed agreement for reference.

Who needs concierge medical agreement?

01
Individuals who prefer personalized and private healthcare services.
02
People with specific medical needs or conditions that require ongoing attention and care.
03
Those who are willing to pay a fee for enhanced access to their healthcare provider.
04
Patients looking for increased convenience and shorter wait times for appointments.
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Concierge medical agreement is a contract between a patient and a physician in which the patient pays an annual fee or retainer in exchange for enhanced medical services and personalized care.
Physicians and medical practices offering concierge medical services are required to file concierge medical agreements.
To fill out a concierge medical agreement, both the physician and patient must agree on the terms of service, payment structure, and services provided. It is recommended to consult with legal counsel when drafting the agreement.
The purpose of a concierge medical agreement is to provide patients with personalized and comprehensive medical care, often including longer appointment times, 24/7 access to the physician, and additional wellness services.
A concierge medical agreement should include details such as the scope of services provided, fees and payment structure, termination clauses, confidentiality agreements, and any additional services offered.
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