The Membership Practice concept is based on the understanding that EVERYONE can benefit from regular chiropractic care and is our most popular option that our practice members choose. That every man, woman, and child should be able to find and afford quality chiropractic care, and use it for the rest of their lives to improve and maintain their health and life.

The greatest benefits of chiropractic care come from time and repetition, just like eating right and exercising. Our fee structure lets you know immediately what your chiropractic budget is without the worry of surprising non-covered benefits that can occur when insurance is utilized. Our fee structure ensures there are no financial surprises, which keeps everyone happy.

Our recommendations are based on YOUR needs, not our fees, or what your insurance company will pay for.  It lowers the financial risk of trying chiropractic care.  Because chiropractic can benefit your entire family, our plans are designed so the entire family can enjoy the benefits of a clear nerve system.

Our fee structure is unique. Instead of paying for individual visits, you pay a monthly access fee that allows you to have your spine checked as often as you need.

By choosing to subscribe to membership online you hereby authorize Ralls Family Chiropractic / Samuel I. Ralls, D.C. to bill the credit/debit/HSA/FSA card agreed heretofore for the membership option that I choose beginning today and agree to perform the obligations set forth by the credit/debit card issuer and the terms of the membership agreement. I will not dispute the company's recurring billing with my bank or credit card company; so long as the transaction corresponds to the terms indicated in this agreement.

YOU ALSO INDICATE UNDERSTANDING/AGREEMENT OF THE FOLLOWING:

I understand that monthly membership payments MUST be scheduled for auto-debit.

I understand that Ralls Family Chiropractic or Samuel I. Ralls, D.C. do not:

• Diagnose or treat medical conditions (no diagnosis codes will be given)
• Submit bills/receipts to insurance companies/attorneys for reimbursement
• Respond to requests for clinic/daily notes for disability or any other request

I am aware that NO credit/refunds for any days missed due to lack of attendance and/or the doctor taking a vacation or day off from the office. Check the office, Facebook or text alerts for schedule changes. 

This is a 12 month agreement and automatically renews unless canceled. I understand that to cancel, a 30-day notice of cancellation prior to my next automatic draft is required. Once canceled, the member(s) will have the remaining visits for that last billing cycle. To restart canceled membership requires a $40 administration fee.

The client acknowledges that these fees are cash discounted and no third-party insurance is being billed. Plans are non-transferable and non-refundable. Visits do not accrue nor do they carry over.