"*" indicates required fields First Name:* Last Name* Email Address* Phone Number* Password* Your Office LocationClinic Name* Doctor Name* Credential* NRCME Number*If you are not planning to perform DOT physical exams, simply put "n/a" in this field. Address* Address Line 2 City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code* Mailing Address (if different)Fax Number Cell Phone Number Office Hours Appointment Link Website URLURL must begin with either https:// OR http:// Do you want your pricing to appear on Google?*If you are competitively priced, listing the price will help drive more business your way.Yes, please add it.No, leave it off.DOT Physical Exam Price* Clinic PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 50 MB.Doctor Bio PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 50 MB.Doctor Bio*Office Location Description*Example: We are located on the west side of town, across from Walmart and next door to Subway.Additional InfoServices You Currently Provide DOT Physicals FAA Physicals FAA BasicMed School Bus Physicals Merchant Mariner Physicals DOT Alcohol DOT Drug OOIDA Member List of Services Offered* Billing Information You will not be charged monthly until your application is accepted.First Name* Last Name* Address* Address Line 2 City State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code* Credit/Debit Card Number* Expiration Month (MM)* Expiration Year (YYYY)* Card Security Code* Agree to Terms and Conditions* I agree to the terms of the TeamCME Membership AgreementCAPTCHA Apply for a TeamCME Membership No Contracts. No Cancellation Fees. A personal webpage on page 1 of GoogleListed on our national mapParticipation in our lab accountParticipation in our randomized drug and alcohol testing consortium Participation in national accountsAccess to 60+ medical clearance letters Newsletter updates Free Training Cost savings on medical equipment and supplies Price: $44.90/month Limited Membership is available for those who only perform drug and alcohol testing. Price: $29.95/month
