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New Partner Registration

 

Register to become a Fair Health Care Alliance partner

This is a no-commitment application to become a membership partner with FHCA which gives you access to an online patient referral form, digital marketing & social media resources and you will be able to order display posters for your practice.

Register to become a Fair Health Care Alliance partner

This is a no-commitment application to become a membership partner with FHCA which gives you access to an online patient referral form, digital marketing & social media resources and you will be able to order display posters for your practice.

Who is managing this partnership with FHCA?

This is the best contact details for the practice manager or owner of the practice for any conversations or updates we may need to share, including our welcome call.

This information helps us provide the best solutions for your practice to help you retain patients with improved health insurance products

  • Step 1 - Practice info
  • Primary contact person
  • Additional information

Practice Details

How many locations do you have?

Are you a member of any of the following associations?

Postal Address

Practice contact details

Who is the best person to speak to?

Preferred Providers

Are you a preferred provider for any of the following? (if not a health provider, please select