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MEMBERSHIP PLANS 

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You can download the forms here and submit via email/fax or fill out the online form below:

Group Sign up Online

Fill out ACH Form and Submit via Email or Fax

1) Download ACH File and complete form
ACH FILE FOR DOWNLOAD
File Size: 374 kb
File Type: pdf
Download File

2) Download Excel Membership sheet and fill in the form
if you don't have their information available you can register them 1 at a time.
addemploymentsheet.xlsx.xlsx
File Size: 14 kb
File Type: xlsx
Download File

3) Once you've submitted your ACH you'll be given a membership management page where you will see what members are on your account and what you'll be able to submit new members to be registered and paid for at the time of submission.
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We don't sell or share your information to third party services.
​© First Alternatives, LLC 2020. ALL RIGHTS RESERVED.
  • Home
  • Membership Plans
    • FAC Health
    • FAC Health Plus
    • FAC Health Plus Diet
  • Contact
    • Providers
    • Access Services
    • Cancel membership
    • About