Branches of Kare Clinic Business Membership

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Branches of Kare is bringing an ideal package that is both affordable and improves patient experience and accessibility. We’re not here to just help people, we also help employers. When employers utilize a Branches of Kare Business Option, they can lower the cost of company healthcare and increase employee health and satisfaction.

Name of Business *

Person filling out this form. *

Person to contact for Business *

Business contact phone number *

Business contact email *

How many employees? *

Which Kare plan are you interested in? *

Option 1 - Virtual Kare ($55/Month per Employee)

Option 2 - In-Person Kare ($70/Month per Employee. Discount offered if more than 5 Employees sign up.

Option 3 - Undecided (Not sure which option is best)

Required

How did you hear about us? *

Facebook

Kare Drug Website

Word of Mouth

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms