Application Form

What would you do with the extra money you save on health care through a Freedom Health Group membership?

Applying for a Freedom Health Group membership for yourself or your family is easy. Simply download the Application Form PDF below, print out the application, complete and sign the form, then mail it to the address below with the total membership fee due. Learn more about our Membership level options. You can also drop off the application and fee at our office located at 924 South Pines, Suite 101 in the Spokane Valley.

After your application and membership fee is received, the application process will take approximately three to five days to complete. At that time you will be free to call and immediately schedule your first appointment or walk-in if you have an urgent care need.

Please feel free to call our office at 509.892.3113, or toll free at 877.766.5603, with any questions.