Creating your unique PDQ medical record

The cost is very low, just a $10 per month, charged to a credit or debit card of your choice.  Please complete the following form that will allow us to do this.  If you are part of the test group, select test group, otherwise select regular membership.

Level Price  
Individual Membership

$10.00 per Month. Customers in Texas will be charged 8.25% tax.

Select