TeamCME Membership Application

Apply for a TeamCME Membership
Monthly Membership

Price: $44.90

Membership includes a personal webpage on page 1 of Google, being listed on our national map, participation in our lab account and our randomized drug and alcohol testing consortium, and participation in national accounts. You'll also have access to 50+ medical clearance letters, newsletter updates, training videos, and cost savings on medical equipment and supplies.
First Name:*
Last Name*
Email Address*
Password*
Your Office Location
Clinic Name*
Doctor Name*
Credential*
NRCME Number
Address*
Address Line 2
Suite
City*
State*
Zip Code*
Mailing Address (if different)
Phone Number*
Fax Number
Cell Phone Number
Office Hours
Appointment Link
Website URL

URL must begin with either http:// OR https://
DOT Physical Exam Price*
Do you want your pricing to appear on Google?*
If you are competitively priced, listing the price will help drive more business your way.
Clinic Photo
Accepted file types: jpg, gif, png, jpeg, Max. file size: 24 MB.
Doctor Bio Photo
Accepted file types: jpg, gif, png, jpeg, Max. file size: 24 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 Info
Services 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 and membership level confirmed
First Name*
Last Name*
Address*
Address Line 2
City
State*
Zip Code*
Phone Number
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 Agreement
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Apply for a TeamCME Membership

Monthly Membership

Price: $44.90

Your Office Location

Billing Information

TeamCME Headquarters

CDL Physicals

FAA BasicMed

Drug Testing