PCD Provider Terms of Agreement

1. A completed, signed application must be returned to PCD to enroll as a Provider.
2. Upon approval, you will become entitled to all benefits of the PCD Program, and membership is automatically renewed, unless canceled.
3. This agreement, in no way, restricts your ability to treat non-PCD members at your normal fees.
4. Fees paid by PCD members are due at the time of service.  As a PCD provider, you have the option to allow PCD consumers to charge.  You are also allowed to increase the patient’s discounted fee up to 15% to cover the cost associated with charge visits.
5. You have the option of requiring presentation of the PCD I.D. card at each visit as a condition of discounted fees.
6. As a PCD provider, you are empowered to issue initial consumer Membership Cards in compliance with the procedures set forth by the Board of Directors of PCD.  You become financially responsible for the cards while they are in your possession.  Unused cards may be returned with no penalty.  Membership cards have a cash replacement value of $30.00 each.
7. As a PCD provider, you agree to provide quality care to PCD members within the limits set by he PCD Board of Directors and maintain malpractice coverage for the term of your membership.
8. Because the PCD Program reduces your costs associated with 3^rd party processing, this agreement becomes void in conjunction with any other 3^rd party payor.  In the event of a change of patient status, PCD membership is automatically suspended for the term of status change.  There is no credit of time not used and no refunds issued. Unused time of membership is not pro-rated and no refunds are issued.
9. You may cancel membership by requesting such, via registered mail, no later than 60 days prior to the end of your agreement.  You must fulfill your annual agreement and provide care to current PCD consumer members until their earliest expiration date.  Failure to fulfill your annual agreement may result in your reimbursement of current annual fees to your PCD consumer members.
10. The PCD Board of Directors may deny membership, or remove from membership, any  chiropractor by a majority vote of the Board for violations of this agreement, civil or criminal violations, violations of the Board of Chiropractic Examiners’ rules and regulations, any actions deemed to be in bad character for the association or other reasons agreed upon by the Board.
11. In the event of cancellation, PCD consumer members may be apprised of your status and given a list of other PCD providers.
12. Submitting the PCD Doctor application online application verifies you have read and agree to the terms as enumerated above.