First Name

Last Name

Date of birth

Your gender

Email *

Phone *

Can we contact you at this number? *

Yes

Is this health plan just for you, or would you also like to include your family members? *

I'm interested in helping others stay healthy and earning a paycheck by joining your referral program! *

Count me in!

Not right now

Home Address (for device delivery):

Address

Street Address

City

State

Country

Postal Code

Just one psychologist or physician visit pays for an entire yearly subscription!

Choose to pay either $30/month (plus 2.9% processing fee) or save 5% with a yearly subscription of $342(plus 2.9% processing fee), Cancel anytime! *

Primary 360 Monthly Health Plan

Subscription

$30

Primary 360 Yearly Health Plan

Subscription

$360

$342

I authorize Simple Health Plus to charge the selected amount for the plan and billing cycle indicated above and acknowledge my Primary 360 plan begins the first of the following month.

I understand this plan includes virtual-first healthcare and may include referrals for in-person care if medically necessary.

I agree to the Terms of Service and Privacy Policy.

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