EasyCare Membership – Payment Authorization
Authorize monthly membership payments for Urgent Care of Oconee.
Thank you for choosing the EasyCare Membership Program.
To complete your enrollment, please fill out the secure payment authorization form below. This allows us to process your monthly $39 membership fee via ACH (direct bank debit).
Your information is protected, and a copy of your completed form will be sent to both you and our office for your records.
What to Expect After Submitting
Once submitted, our team will review your form and finalize your membership. If we need anything else, we’ll reach out to you directly. You can also contact us anytime at [insert phone number] or visit one of our clinics in Watkinsville, Athens, or Madison.