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  • Free one Page Web Site to Charter Members with a Link to CallYourPediatrician until March 15, 1998.
  • Names, address, phone numbers, and up to five links to other web sites.
  • Photos will be added to your site for $25 each
  • Opportunity to E-mail for appointments billing or messages.

The one time set up fee and monthly fee depends on how many Physicians are currently in your practice.

Number of Physicians

(Set up Fee) (Monthly Fee)

1-4 Physician practice

  $250   

$85

5-10 Physician practice

$350

$95

11-20 Physician practice 

$450

$125

Larger Practices, HMO'S or Hospitals

(Call for rates)

(Call for rates)

(Fill out the form and press submit button or print the form and fax to 1-760-942-7673, or call 1-888-451-2838)

Please fill in all items with an asterisk ( * )

YOUR LAST NAME *

YOUR FIRST NAME*

COMPANY NAME *

ADDRESS LINE ONE *

ADDRESS LINE TWO

CITY * STATE * ZIP CODE*

E-MAIL ADDRESS

SIZE OF OFFICE: 1-4 DOCS 5-10  11-20 MORE *

OFFICE TELEPHONE NO.--*

FAX NUMBER - -

HOME TELEPHONE NO. --

By submitting I certify that I am a Family Practice Doctor, Pediatrician, or affiliated as an employee of a: Medical Clinic, Hospital, Insurance Company or HMO .

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