Membership Interest Form By continuing and submitting this form: * I confirm that I am at least 18 years of age. I agree to future communications from Oakwell Pediatrics. I have read and agree to Oakwell Pediatric's Terms of Use, Privacy Policy, and Disclaimer. Name * First Name Last Name E-mail * How did you hear about us? * If you were referred by an existing member, please list their name. Please tell us why you are interested in joining Oakwell Pediatrics? * If you are expecting a newborn, when is your expected due date and planned location of birth? If you currently have children, please list their age(s). I am interested in: * Monthly and/or Annual Membership (For rate, please inquire) Virtual Consult ($150) - Urgent, Sick or Second Opinions. House Calls ($500) - All inclusive fee. Includes examination and 48 hour post-visit virtual care. Minor procedures, breathing treatments, point-of-care strep, RSV, influenza, COVID-19 viral testing or urine testing are included, if medically indicated. All visits start with a telephone/video call. If house call is desired, virtual consult fee waived. Must be located within service area. Additional child is $250. Prenatal and Newborn Care / "4th Trimester Package" only ($2000) - Prenatal Readiness, Hospital/Home Visit, Newborn Care until 60 days of age Collaboration / Media Other Comments Thank you for your inquiry. Our team will review your request and get back to you soon.
