Member Service Agreement
Effective January 1, 2018
This Agreement is subject to the Texas Occupations Code, Title 3. Health Professions, Subtitle B. Physicians, Chapter 162. Regulation of the Practice of Medicine, Subchapter F. Direct Primary Care. Any disputes arising from this Agreement shall be governed by Texas law.
This Agreement is entered by mutual voluntary consent.
First Primary Care is a Member Services Organization contracting with various medical providers including OWH specializing in primary care both in office and via electronic communication. In exchange for the consideration set forth in the Membership Agreement the Parties agree as follows:
Term & Billing
Any failure to comply with the terms set forth in this Section will result in termination of this Agreement and membership with FPC. By signing for Membership Services, the Member hereby authorizes FPC to initiate monthly charges to his/her credit card, debit card, or bank account for the Membership Fee plus any additional incidental costs incurred by the Member or FPC on the Member’s behalf since the previous billing date. Member understands that his/her membership with FPC is continuous and that, by signing below he/she authorizes recurring credit/debit or bank account charges.
Costs Outside Of The Scope Of Agreement
Not a health insurance substitute. Member recognizes that this agreement and the membership described herein is not health insurance or a substitute for health insurance
No Federal Funds or Insurance
Not Medicare Eligible
Changes In Fees
Responding To Member
Communications, Privacy, HIPAA
IMPORTANT: In the event of a medical emergency or situation that Member could reasonably expect to develop into an emergency, the Member agrees to call 911 or promptly seek care in an emergency room. Members should never rely on FPC or its Medical Providers to address an emergency medical situation.
- This Agreement is expressly limited to routine primary care services, and is NOT a medical insurance contract.
- Member acknowledges that Member does NOT have an emergency medical problem at this time.
- Member does NOT expect FPC to file or contest any third party insurance claims on his/her behalf.
- Member is voluntarily enrolling himself/herself (and/or family/dependents or employees, if applicable) as a Member.