Essential Medical Clinic   |   Enrollment

Online Enrollment


At Essential Medical Clinic, we understand that while the kind patients vary, so are their needs. Thus, you can enroll in our services in-person and online.

Our online enrollment takes less than 120 seconds! We only need basic contact and billing information which include:
  • Name
  • Address
  • Email
  • Phone Number
  • Date Of Birth
  • Gender
  • Payment Info

Once you have enrolled, a member of our staff will contact you to answer any questions you may have for us and to schedule your first appointment.

Membership is limited, so we encourage you to secure your spot today.

IN-PERSON ENROLLMENT

If you’d prefer to meet our physicians and have them answer your questions first, we recommend that you enroll in person. To do that, simply schedule an Enrollment Appointment at our clinic by using the form below.

NOTE When you come in to Essential Medical Clinic, we will collect the following basic information :

  • Name
  • Address
  • Email
  • Phone Number
  • Date Of Birth
  • Gender
  • Payment Info