We love new patients!

We invite you to review our registration and payment forms below. If you think this kind of medical home is for you, we would love to provide your primary care. You can download and then fax or mail the forms to our office, or you can register online by clicking the Sign Up button. If you any questions about how our new clinic works, or how to sign up, please contact us!

Medicare Beneficiary Opt Out Agreement

Payment Authorization

Membership Agreement

Member Services Guide

Member Registration

Sign Up!

If you are ready to become part of the Vintage Direct Primary Care family click here and we'll take you to our online registration page.

Sign Up