Enrollment Complete
Thank you for completing your FormKind Health enrollment.
Your payment method has been securely saved.
No charges have been made at this time.
Your intake is now pending clinical review. If approved, your selected membership will be activated and your payment method will be charged according to your plan.
What Happens Next?
1. Clinical Review
Your provider will review your intake questionnaire, medical history, requested services, and membership selection.
2. Follow-Up Communication
If additional information is needed, we will contact you using the email address provided during enrollment.
3. Membership Activation
If approved, your membership will be activated:
Essential Membership: $99/month
Complete Care Membership: $129/month
4. Lab Instructions
If laboratory testing is required, lab orders and instructions will be sent electronically.
Important
Enrollment does not guarantee acceptance into care, prescription issuance, or treatment approval. All recommendations are based on clinical appropriateness and provider judgment.
Need Assistance?
Email: info@formkindhealth.com
Phone: 267-566-0473
FormKind Health
Inclusive. Accessible. Evidence-Based.