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Employer Billing Information
This is the form we use to get the information and permission we need to charge your account (credit card or bank account) for memberships each month.
Employee Registration Form
This is the form we need to get basic information for the employees that would like to register as members of our clinic.
Authorization for Voluntary Payroll Deduction
This is the form you could use to get permission from your employees to deduct either partial or the entire Assurance membership amount from their paychecks.