Apply for a TeamCME Membership

Basic Monthly Membership

Price: $29.95

Basic Membership includes access to our medical clearance letters, newsletter updates, training videos, and participation in national accounts. It also includes cost savings on TeamWorx EHR, medical equipment and supplies, and online marketing. It does not include an embedded web page, TeleSensi Cardiac, or other additional member resources.

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

Appointment Link

Website URL

URL must begin with either http:// OR https://

Office Hours

Additional Info

Services You Currently Provide

DOT Physicals
FAA Physicals
FAA BasicMed
School Bus Physicals
Merchant Mariner Physicals
DOT Alcohol
DOT Drug
OOIDA Member

Billing Information

You will not be charged monthly until your application is accepted and membership level confirmed

First Name*

Last Name*

Company Name

Address*

Address Line 2

City

State*

Zip Code*

Phone Number

Credit Card Number*

Expiration Month (MM)*

Expiration Year (YYYY)*

Card Security Code*

Add Coupon Code

If you have a discount or coupon code, enter it here.

Agree to Terms and Conditions*

I agree to the terms of the TeamCME Membership Agreement

Get a Personal Embedded Webpage ($14.95/month)

View a Web Page

Have a website focused solely on DOT-related services.
Increased Exposure = Increased Referrals = Increased Income.
Appear on Google Page 1
It's the Best ROI in the Business!

Are you interested in a member dedicated web page?*

Yes
Not at this time.

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Apply for a TeamCME Membership

Your Office Location

Billing Information

Get a Personal Embedded Webpage ($14.95/month)

TeamCME Headquarters

CDL Physicals

FAA BasicMed

Drug Testing