During requested service hours and for $85 per month plus tax (billed quarterly), I request:

(Note: This service requires the use of a smart phone/device and the downloading of a HIPAA-Compliant app. A
personal email address is required to set up the account. Please, no office manager email addresses or addresses
shared with other physicians. Text messages will not be sent in any other manner.)

Monthly on-call schedules should be submitted to PCME by the 20th of the preceding month. All changes to a member physician’s schedule or contact information must be submitted in writing.