Concierge Registration - true. Women's Health

Following submission of this form you will be required to sign our agreement.

Concierge Program Registration

  • Date Format: MM slash DD slash YYYY
  • Price: $2,400.00
    true. Women’s Health Clinic of Grand Rapids has limited availability. By signing up today you are guaranteed a spot in the Concierge Program.

    You authorize true. Women's Health Clinic of Grand Rapids, PC to secure payment from you with a credit card in the amount of $2,400.00.

    You also have the option to pay $1,200.00 and agree to two more payments, 90 days apart, of $600.00 each for a total of $2,400.00.

    This agreement will automatically renew each year unless otherwise cancelled by you.
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