PRIME for Individuals

OPEN 9AM – 9PM, 7 DAYS A WEEK

Call Ahead Care Line: (281) 783-8162

Register for Next Level PRIME!

PRIME Individuals take 2

PRIME Member Information

PRIME Patient First Name:

PRIME Patient Last Name:

PRIME Patient Date of Birth

PRIME Patient Gender:

PRIME Patient Social Security Number

PRIME Patient Phone Number

PRIME Patient Email

PRIME Patient Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Your Next Level PRIME Membership will Begin on:

By clicking submit, you are authorizing a one time charge of $300 to the card listed above and payments of $100 per month beginning on the 90th day of your PRIME membership. Your PRIME membership will begin the first of the month after the date of payment and will terminate automatically 12 months later.

If you are human, leave this field blank.

Patient Resources

Employer Resources

Additional information

We improve our services by using Microsoft Clarity to see how users interact with our website. By using our site, you agree that we and Microsoft can collect and use this data.

Register for Next Level PRIME!

PRIME Member Information

Patient Resources

Employer Resources

Additional information

GET THE MOBILE APP