Primary Care Without Insurance

Complete the form below for a Sanitas Ambassador to call you to finalize your enrollment in SanitasCare, our direct primary care membership.

Don't want to wait for our call? Enroll now by calling 1-866-586-9495.

1. Your information

First Name *This question is required.

Last Name *This question is required.

Phone Number *This question is required.

Alt. Phone Number

2. How many family members do you want to enroll in SanitasCare? *This question is required.

	Adults (19-54 years old)
	Children (0-18 years old)
	Older Adults (55+ years old)
Total : 0

Primary Care Without Insurance | SanitasCare