Name *

First Name

Last Name

Phone

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Preferred Method of Contact

Call

Text

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Please put me on the new patient waiting list, I am excited to enroll as a patient

I am just wanting more information

I am an employer who is interested in learning how a Two Rivers Primary Care can help me provide high value healthcare benefits for my employees

Please indicate what is most important to you in your healthcare journey

Timely access to my care team

Convenient access to my care team

Longer appointment times with my care team

Cost Savings

Alternative visit options (phone visits, home visits, video visits)