Timarron Family Medicine, Esthetics, Regenerative Medicine
817-481-4739

TAHP Registration

(Presently limited to current patients of Timarron Family Medicine)

Welcome to the Tiered Access Health Plan registration page.  If you are currently a patient in good standing with Timarron Family Medicine and would like to register you, you and your spouse, or you and your family for membership in one of the three plans, proceed by filling in all the blanks on this page.  Once submitted, your registration and status with the practice will be verified.  If you are eligible for membership, you will be notified by email to login into your new membership account and choose a payment plan for the plan you have chosen. 

You may have the option to choose a different plan if membership in your first choice of plans is already full.  Be sure to verify if you would like to be placed on a waiting list if the plan(s) you have chosen are already full.  You will be notified in the future should an opening in your choice of plan become available and you are the next registrant on the waiting list.


First Name: *
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Phone Number: *
Email Address: *
Date of Birth: * MM/DD/YYYY
Plan Choice: * Refer to Plan Chart  
Names of family members other than yourself, that are to be included in the TAHP services if you selected a multi-member plan.
Name 1: First Name Last Name Date of Birth
Name 2: First Name Last Name Date of Birth
Name 3: First Name Last Name Date of Birth
Name 4: First Name Last Name Date of Birth
Name 5: First Name Last Name Date of Birth
Name 6: First Name Last Name Date of Birth
Please set up a username and password for logging into the TAHP Portal.
Username: *
Password: *
 

 


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