Add Enrollee

Step 1 of 4 – Enrollment Information

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PRICING

Adult Care = $2500

Child & Young Adult Care (5-25) = $1250
PRICING

Adult Care = $2500

Young Adult Care (15-25) = $1250
PRICING

Adult Care = $2000

Child & Young Adult Care (5 – 25) = $1000
PRICING

Adult Care = $2000

Young Adult Care (15-25) = $1000
PRICING

Adult Care = $2500
PRICING

Adult Care = $3000
Adult Care (30+ years)
Adult 1 = $2500.00
Adult 2 = $1300.00

Young Adult Care (18-29 years)
Young Adult 1 = $1250.00

PROGRAM AGREEMENT (download)

This program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Winslow Winslow Murdoch, M.D. P.C. (“Dr. Murdoch”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of this Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Murdoch. “You” or “the Patient” refers to the patient whose signature appears on the signature page of this Program Agreement. If the signature page of this Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in this Agreement to “you” or “the patient” refers to each such member of your family. This Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to this Program Agreement in connection therewith. “Dr. Murdoch” refers to Winslow Murdoch M.D. P.C., and to Winslow Murdoch, M.D., individually. Dr. Murdoch will be your primary care physician for as long as this Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, a Delaware limited liability company. Total Access is the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Murdoch is not an employee of Total Access. So long as you participate in the Total Access Program, Dr. Murdoch will have sole authority over and responsibility for the provision by Dr. Murdoch of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in this Program Agreement in an effort to make your experience of being cared for by Dr. Murdoch as convenient and as effective as possible. Neither Dr. Murdoch nor Total Access is responsible for the obligations of the other under this Program Agreement.

Murdoch’s Responsibilities

Dr. Murdoch agrees to arrange his practice so as to be able to afford to you the care and attention described in this Program Agreement. In general, Dr. Murdoch will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Murdoch during the term of this Program Agreement. Dr. Murdoch will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in West Chester, Pennsylvania. Dr. Murdoch will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Murdoch will provide you with such other primary care services as you request at the fee schedule attached to this Program Agreement as Exhibit A. From time to time, Dr. Murdoch may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Murdoch will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Murdoch takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Murdoch will agree to see you in his office within one hour of a time specified by you during the next business day after you call for an appointment. In general, and when possible, Dr. Murdoch will come to your home if medically necessary for a house call on the evening of the day on which you request a house call. In general, Dr. Murdoch will coordinate care, and at Dr. Murdoch’s medical discretion, meet you in the emergency room if you are required to make an emergency room visit (although Dr. Murdoch will not be authorized to practice emergency medicine in the emergency department of most hospitals). In general, Dr. Murdoch will accompany you to appointments with specialist physicians to whom Dr. Murdoch refers you for specialist care if you so request. A portion of the Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Murdoch and paid to Dr. Murdoch as payment for the clinical and non-clinical services that Dr. Murdoch agrees to provide to you under this Program Agreement and that are not separately compensated pursuant to Dr. Murdoch’s fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 3 with the objective of making your primary care experience with Dr. Murdoch as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Murdoch and specialists and providers of ancillary services to whom he refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Murdoch of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Murdoch’s e-mail. Total Access will handle any questions or concerns you have regarding the provision by Dr. Murdoch of primary care services in accordance with this Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your commercial health benefits insurance provider. Total Access will arrange for express mail (next day delivery) or (if requested by Dr. Murdoch) same-day home delivery service from a Total Access – designated pharmacy for prescription drugs that have been prescribed for you by Dr. Murdoch, provided that you or your health plan have paid for the cost of the prescription. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program, if you so request, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. Total Access’s patient service staff will be available to assist you and provide the services described in this Section 3 during the hours of 8 a.m. to 4 p.m. each business day.

Your Responsibilities

You agree to pay the Total Access Program Fee described on the signature page of this Program Agreement within 10 days after the date of each billing (the first payment is due when you sign this Program Agreement). The annual Program Fee is payable annually in advance. You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Murdoch’s bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice. You have no other obligation under the Total Access Program. You may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. You understand that in the event you elect to terminate your participation, a prorated portion of the annual Program Fee will be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Murdoch on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Murdoch has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Murdoch has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Murdoch submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Murdoch even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Murdoch. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into this Program Agreement for the provision by Dr. Murdoch of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You may terminate this Program Agreement at any time by notifying Total Access of your termination at least 30 days prior to the date on which your termination is to be effective. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Murdoch under this Program Agreement, your right to terminate this Agreement will be your only remedy (subject to any rights that are non-waivable by law). You understand that you will need to identify a new primary care physician prior to the date on which your termination is effective, and that a prorated portion of the Annual Fee will be refunded. If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer this Agreement to the other participating physician without penalty. Total Access or Dr. Murdoch may terminate this Program Agreement at any time and without any further obligation if Dr. Murdoch should die or become unable to carry on his practice, or on 30 days notice to you if you fail to pay any amount due hereunder. In any such event there will be a refund of a prorated portion of the Program Fee. Total Access or Dr. Murdoch may terminate this Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, in which case a prorated portion of the annual Program Fee will be refunded. Regardless of whether this Program Agreement is terminated, you and Dr. Murdoch agree not to seek Medicare reimbursement for services rendered to you by Dr. Murdoch under this Program Agreement.

Additional Provisions

This Program Agreement will be governed by the laws of the Commonwealth of Pennsylvania. This Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Murdoch.

TOTAL ACCESS PROGRAM AGREEMENT Exhibit A Fee Schedule for Primary Care Services

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All medical and non-clinical services provided by Total Access and Dr. Murdoch according to services requested via signed program agreement	Associated annual program fee according to services requested

PROGRAM AGREEMENT (download) The program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), David P. Perkins, M.D. P.C. (“Dr. Perkins”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of the Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Perkins. “You” or “the Patient” refers to the patient whose signature appears on the signature page of the Program Agreement. If the signature page of the Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in the Agreement to “you” or “the patient” refers to each such member of your family. The Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to the Program Agreement in connection therewith. “Dr. Perkins” refers to David P. Perkins M.D. P.C., and to David P. Perkins, M.D., individually. Dr. Perkins will be your primary care physician for as long as the Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Perkins is not an employee of Total Access. Total Access is not an insurance plan and does not replace your traditional insurance plan. So long as you participate in the Total Access Program, Dr. Perkins will have sole authority over and responsibility for the provision by Dr. Perkins of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in the Program Agreement in an effort to make your experience of being cared for by Dr. Perkins as convenient and as effective as possible. Neither Dr. Perkins nor Total Access is responsible for the obligations of the other under the Program Agreement.

Perkins’ Responsibilities

Dr. Perkins agrees to arrange his practice so as to be able to afford to you the care and attention described in the Program Agreement. In general, Dr. Perkins will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Perkins during the term of the Program Agreement. Dr. Perkins will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in St. Davids, Pennsylvania. Dr. Perkins will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Perkins will provide you with such other primary care services as you request at the fee schedule attached to the Program Agreement as Exhibit A. From time to time, Dr. Perkins may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Perkins will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Perkins takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Perkins will agree to see you in his office within one hour of a time specified by you during the next business day after you call for an appointment. In general, and when possible, Dr. Perkins will come to your home if medically necessary for a house call on the evening of the day on which you request a house call. In general, Dr. Perkins will coordinate care and communicate with specialists physicians, including emergency room physicians in the event of hospitalization. The Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Perkins and paid to Dr. Perkins as payment for the clinical services that Dr. Perkins agrees to provide to you under the Program Agreement and that are not separately compensated pursuant to Dr. Perkins’ fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 2 with the objective of making your primary care experience with Dr. Perkins as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Perkins and specialists and providers of ancillary services to whom she refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Perkins of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Perkins’ e-mail. Total Access will handle any questions or concerns you have regarding the provision by Dr. Perkins of primary care services in accordance with the Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your commercial or pre-tax health benefits insurance plan that provides coverage for this type of service. Total Access will arrange for either office dispensing, express mail or (if requested by Dr. Perkins) same-day home delivery service from a Total Access-designated pharmacy for prescription drugs that have been prescribed for you by Dr. Perkins, provided that you or your health plan have paid for the cost of the prescription. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program and at your request, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. Total Access’s patient service staff will be available to assist you and provide the services described in the Section 3 during the hours of 8:30 a.m. to 4:30 p.m. each business day.

Your Responsibilities

You agree to make yourself available at all reasonable hours for examination and diagnosis by Dr. Perkins in person, if required by Dr. Perkins. You agree to fully and completely follow all instructions given by Dr. Perkins, and to complete all courses of treatment to the best of your ability. It is impossible to forecast any particular outcome of your course of treatment, and Dr. Perkins does not and cannot guarantee a successful outcome. Your cooperation in your care is critical to a successful outcome. You agree to pay the Total Access Program Fee described on the signature page of the Program Agreement within 30 days after the date of each billing (the first payment is due when you sign the Program Agreement). The Program Fee is due in advance of the covered time period. You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Perkins’ bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice, understanding that your office visits and annual physical examination are included in the Program Fee. You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Perkins on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Perkins has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Perkins has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Perkins submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Perkins even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Perkins. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into the Program Agreement for the provision by Dr. Perkins of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Perkins under the Program Agreement, your right to terminate the Agreement will be your only remedy (subject to any rights that are non-waivable by law). If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer the Agreement to the other participating physician, including without penalty. Total Access or Dr. Perkins may terminate the Program Agreement upon 30 days prior notice to you and without any further obligations if you fail to pay any amount due hereunder. Total Access or Dr. Perkins may terminate the Program Agreement at any time and without any further obligation if Dr. Perkins should die or become unable to carry on his practice, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Perkins may terminate the Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, either in whole or for you specifically, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Perkins may terminate the Agreement upon 30 days prior notice to you if in the professional judgment of Dr. Perkins, you are not following the prescribed medical regimen or you do not make yourself available for examination and diagnosis by Dr. Perkins as she may reasonably require, in which case a prorated portion of the annual Program Fee may be refunded. Regardless of whether the Program Agreement is terminated, you and Dr. Perkins agree not to seek Medicare reimbursement for services rendered to you by Dr. Perkins under the Program Agreement.

Additional Provisions

The Program Agreement will be governed by the laws of the Commonwealth of Pennsylvania. The Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Perkins. TOTAL ACCESS PROGRAM AGREEMENT Exhibit A

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All primary care medical services (not supplies) provided by Dr. Perkins via signed program agreement	No Additional Charge

PROGRAM AGREEMENT (download)

The program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Frank P. Pettinelli, D.O. P.A. (“Dr. Pettinelli”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of the Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Pettinelli. “You” or “the Patient” refers to the patient whose signature appears on the signature page of the Program Agreement. If the signature page of the Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in the Agreement to “you” or “the patient” refers to each such member of your family. The Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to the Program Agreement in connection therewith. “Dr. Pettinelli” refers to Frank P. Pettinelli D.O. P.A., and to Frank P. Pettinelli, D.O., individually. Dr. Pettinelli will be your primary care physician for as long as the Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Pettinelli is not an employee of Total Access. Total Access is not an insurance plan and does not replace your traditional insurance plan. So long as you participate in the Total Access Program, Dr. Pettinelli will have sole authority over and responsibility for the provision by Dr. Pettinelli of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in the Program Agreement in an effort to make your experience of being cared for by Dr. Pettinelli as convenient and as effective as possible. Neither Dr. Pettinelli nor Total Access is responsible for the obligations of the other under the Program Agreement.

Pettinelli’ Responsibilities

Dr. Pettinelli agrees to arrange his practice so as to be able to afford to you the care and attention described in the Program Agreement. In general, Dr. Pettinelli will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Pettinelli during the term of the Program Agreement. Dr. Pettinelli will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in Mt. Laurel, New Jersey. Dr. Pettinelli will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Pettinelli will provide you with such other primary care services as you request at the fee schedule attached to the Program Agreement as Exhibit A. From time to time, Dr. Pettinelli may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Pettinelli will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Pettinelli takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Pettinelli will agree to see you in his office within one hour of a time specified by you during the next business day after you call for an appointment. In general, and when possible, Dr. Pettinelli will come to your home if medically necessary for a house call on the evening of the day on which you request a house call. In general, Dr. Pettinelli will coordinate care and communicate with specialists physicians, including emergency room physicians in the event of hospitalization. The Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Pettinelli and paid to Dr. Pettinelli as payment for the clinical services that Dr. Pettinelli agrees to provide to you under the Program Agreement and that are not separately compensated pursuant to Dr. Pettinelli’ fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 2 with the objective of making your primary care experience with Dr. Pettinelli as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Pettinelli and specialists and providers of ancillary services to whom she refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Pettinelli of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Pettinelli’ e-mail. Total Access will handle any questions or concerns you have regarding the provision by Dr. Pettinelli of primary care services in accordance with the Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your commercial or pre-tax health benefits insurance plan that provides coverage for this type of service. Total Access will arrange for either office dispensing, express mail or (if requested by Dr. Pettinelli) same-day home delivery service from a Total Access-designated pharmacy for prescription drugs that have been prescribed for you by Dr. Pettinelli, provided that you or your health plan have paid for the cost of the prescription. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program and at your request, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. Total Access’s patient service staff will be available to assist you and provide the services described in the Section 3 during the hours of 8:00 a.m. to 4:00 p.m. each business day.

Your Responsibilities

You agree to make yourself available at all reasonable hours for examination and diagnosis by Dr. Pettinelli in person, if required by Dr. Pettinelli. You agree to fully and completely follow all instructions given by Dr. Pettinelli, and to complete all courses of treatment to the best of your ability. It is impossible to forecast any particular outcome of your course of treatment, and Dr. Pettinelli does not and cannot guarantee a successful outcome. Your cooperation in your care is critical to a successful outcome. You agree to pay the Total Access Program Fee described on the signature page of the Program Agreement within 30 days after the date of each billing (the first payment is due when you sign the Program Agreement). The Program Fee is due in advance of the covered time period. You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Pettinelli’ bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice, understanding that your office visits and annual physical examination are included in the Program Fee. You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Pettinelli on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Pettinelli has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Pettinelli has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Pettinelli submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Pettinelli even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Pettinelli. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into the Program Agreement for the provision by Dr. Pettinelli of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Pettinelli under the Program Agreement, your right to terminate the Agreement will be your only remedy (subject to any rights that are non-waivable by law). If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer the Agreement to the other participating physician, including without penalty. Total Access or Dr. Pettinelli may terminate the Program Agreement upon 30 days prior notice to you and without any further obligations if you fail to pay any amount due hereunder. Total Access or Dr. Pettinelli may terminate the Program Agreement at any time and without any further obligation if Dr. Pettinelli should die or become unable to carry on his practice, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Pettinelli may terminate the Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, either in whole or for you specifically, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Pettinelli may terminate the Agreement upon 30 days prior notice to you if in the professional judgment of Dr. Pettinelli, you are not following the prescribed medical regimen or you do not make yourself available for examination and diagnosis by Dr. Pettinelli as she may reasonably require, in which case a prorated portion of the annual Program Fee may be refunded. Regardless of whether the Program Agreement is terminated, you and Dr. Pettinelli agree not to seek Medicare reimbursement for services rendered to you by Dr. Pettinelli under the Program Agreement.

Additional Provisions

The Program Agreement will be governed by the laws of the State of New Jersey. The Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Pettinelli. TOTAL ACCESS PROGRAM AGREEMENT Exhibit A

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All primary care medical services (not supplies) provided by Dr. Pettinelli via signed program agreement	No Additional Charge

PROGRAM AGREEMENT (download)

The program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Teresa Saris, M.D. P.C. (“Dr. Saris”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of the Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Saris. “You” or “the Patient” refers to the patient whose signature appears on the signature page of the Program Agreement. If the signature page of the Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in the Agreement to “you” or “the patient” refers to each such member of your family. The Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to the Program Agreement in connection therewith. “Dr. Saris” refers to Teresa Saris M.D. P.C., and to Teresa Saris, M.D., individually. Dr. Saris will be your primary care physician for as long as the Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Saris is not an employee of Total Access. Total Access is not an insurance plan and does not replace your traditional insurance plan. So long as you participate in the Total Access Program, Dr. Saris will have sole authority over and responsibility for the provision by Dr. Saris of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in the Program Agreement in an effort to make your experience of being cared for by Dr. Saris as convenient and as effective as possible. Neither Dr. Saris nor Total Access is responsible for the obligations of the other under the Program Agreement.

Saris’ Responsibilities

Dr. Saris agrees to arrange her practice so as to be able to afford to you the care and attention described in the Program Agreement. In general, Dr. Saris will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Saris during the term of the Program Agreement. Dr. Saris will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in St. Davids, Pennsylvania. Dr. Saris will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Saris will provide you with such other primary care services as you request at the fee schedule attached to the Program Agreement as Exhibit A. From time to time, Dr. Saris may change her fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Saris will use her best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Saris takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Saris will agree to see you in her office within one hour of a time specified by you during the next business day after you call for an appointment. In general, and when possible, Dr. Saris will come to your home if medically necessary for a house call on the evening of the day on which you request a house call. In general, Dr. Saris will coordinate care and communicate with specialists physicians, including emergency room physicians in the event of hospitalization. The Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Saris and paid to Dr. Saris as payment for the clinical services that Dr. Saris agrees to provide to you under the Program Agreement and that are not separately compensated pursuant to Dr. Saris’ fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 2 with the objective of making your primary care experience with Dr. Saris as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Saris and specialists and providers of ancillary services to whom she refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Saris of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Saris’ e-mail. Total Access will handle any questions or concerns you have regarding the provision by Dr. Saris of primary care services in accordance with the Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your commercial or pre-tax health benefits insurance plan that provides coverage for this type of service. Total Access will arrange for either office dispensing, express mail or (if requested by Dr. Saris) same-day home delivery service from a Total Access-designated pharmacy for prescription drugs that have been prescribed for you by Dr. Saris, provided that you or your health plan have paid for the cost of the prescription. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program and at your request, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. Total Access’s patient service staff will be available to assist you and provide the services described in the Section 3 during the hours of 8 a.m. to 4 p.m. each business day.

Your Responsibilities

You agree to make yourself available at all reasonable hours for examination and diagnosis by Dr. Saris in person, if required by Dr. Saris. You agree to fully and completely follow all instructions given by Dr. Saris, and to complete all courses of treatment to the best of your ability. It is impossible to forecast any particular outcome of your course of treatment, and Dr. Saris does not and cannot guarantee a successful outcome. Your cooperation in your care is critical to a successful outcome. You agree to pay the Total Access Program Fee described on the signature page of the Program Agreement within 30 days after the date of each billing (the first payment is due when you sign the Program Agreement). The Program Fee is due in advance of the covered time period. You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Saris’ bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice, understanding that your office visits and annual physical examination are included in the Program Fee. You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Saris on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Saris has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Saris has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Saris submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Saris even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Saris. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into the Program Agreement for the provision by Dr. Saris of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Saris under the Program Agreement, your right to terminate the Agreement will be your only remedy (subject to any rights that are non-waivable by law). If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in her or her practice, Total Access may, by mutual agreement with you, transfer the Agreement to the other participating physician, including without penalty. Total Access or Dr. Saris may terminate the Program Agreement upon 30 days prior notice to you and without any further obligations if you fail to pay any amount due hereunder. Total Access or Dr. Saris may terminate the Program Agreement at any time and without any further obligation if Dr. Saris should die or become unable to carry on her practice, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Saris may terminate the Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, either in whole or for you specifically, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Saris may terminate the Agreement upon 30 days prior notice to you if in the professional judgment of Dr. Saris, you are not following the prescribed medical regimen or you do not make yourself available for examination and diagnosis by Dr. Saris as she may reasonably require, in which case a prorated portion of the annual Program Fee may be refunded. Regardless of whether the Program Agreement is terminated, you and Dr. Saris agree not to seek Medicare reimbursement for services rendered to you by Dr. Saris under the Program Agreement.

Additional Provisions

The Program Agreement will be governed by the laws of the Commonwealth of Pennsylvania. The Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Saris. TOTAL ACCESS PROGRAM AGREEMENT Exhibit A

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All primary care medical services (not supplies) provided by Dr. Saris via signed program agreement	No Additional Charge

PROGRAM AGREEMENT (download)

This program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Bruce Sokoloff, M.D. P.A. (“Dr. Sokoloff”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of this Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Sokoloff. “You” or “the Patient” refers to the patient whose signature appears on the signature page of this Program Agreement. If the signature page of this Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in this Agreement to “you” or “the patient” refers to each such member of your family. This Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to this Program Agreement in connection therewith. “Dr. Sokoloff” refers to Bruce Sokoloff M.D. P.A., and to Bruce Sokoloff, M.D., individually. Dr. Sokoloff will be your primary care physician for as long as this Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, a Delaware limited liability company. Total Access is the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Sokoloff is not an employee of Total Access. So long as you participate in the Total Access Program, Dr. Sokoloff will have sole authority over and responsibility for the provision by Dr. Sokoloff of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in this Program Agreement in an effort to make your experience of being cared for by Dr. Sokoloff as convenient and as effective as possible. Neither Dr. Sokoloff nor Total Access is responsible for the obligations of the other under this Program Agreement.

Sokoloff’s Responsibilities

Dr. Sokoloff agrees to arrange his practice so as to be able to afford to you the care and attention described in this Program Agreement. In general, Dr. Sokoloff will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Sokoloff during the term of this Program Agreement. Dr. Sokoloff will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in Wilmington, Delaware. Dr. Sokoloff will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Sokoloff will provide you with such other primary care services as you request at the fee schedule attached to this Program Agreement as Exhibit A. From time to time, Dr. Sokoloff may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Sokoloff will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Sokoloff takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Sokoloff will agree to see you in his office within during the same or next business day after you call for an appointment. In general, and when possible, Dr. Sokoloff will come to your home if medically necessary for a house call. In general, Dr. Sokoloff will coordinate care and communicate with specialists physicians, including emergency room physicians in the event of hospitalization. The Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Sokoloff and paid to Dr. Sokoloff as payment for the clinical services that Dr. Sokoloff agrees to provide to you under this Program Agreement and that are not separately compensated pursuant to Dr. Sokoloff’s fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 3 with the objective of making your primary care experience with Dr. Sokoloff as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Sokoloff and specialists and providers of ancillary services to whom he refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Sokoloff of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Sokoloff’s e-mail and obtain claims processing support from Total Access. Total Access will handle any questions or concerns you have regarding the provision by Dr. Sokoloff of primary care services in accordance with this Program Agreement. Total Access will, if you so request, prepare any necessary documentation that is required in order for you to obtain payment or reimbursement from your pre-tax health benefits plan. Total Access will arrange for express mail or (if requested by Dr. Sokoloff) same-day home delivery service from a Total Access-designated pharmacy for prescription drugs that have been prescribed for you by Dr. Sokoloff, provided that you or your health plan have paid for the cost of the prescription. If you wish to utilize this service, please visit our website or so notify a Total Access patient service representative and you will be provided with the necessary forms to open a credit card charge account at a Total Access-designated pharmacy. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. If you wish to use this service, please visit our website or so notify a Total Access patient service representative and you will be provided with the necessary patient authorization and other forms to allow Total Access to assemble your medical record on your behalf. Total Access’s patient service staff will be available to assist you and provide the services described in this Section 3 during the hours of 8 a.m. to 4 p.m. each business day.

Your Responsibilities

You agree to pay the Total Access Program Fee described on the signature page of this Program Agreement within 30 days after the date of each billing (the first payment is due when you sign this Program Agreement). The Program Fee is due in advance of the covered time period. You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Sokoloff’s bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice. You understand that this Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Sokoloff on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Sokoloff has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Sokoloff has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Sokoloff submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Sokoloff even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Sokoloff. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into this Program Agreement for the provision by Dr. Sokoloff of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Sokoloff under this Program Agreement, your right to terminate this Agreement will be your only remedy (subject to any rights that are non-waivable by law). If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer this Agreement to the other participating physician, including without penalty. Total Access or Dr. Sokoloff may terminate this Program Agreement upon 30 days prior notice to you and without any further obligations if you fail to pay any amount due hereunder. Total Access or Dr. Sokoloff may terminate this Program Agreement at any time and without any further obligation if Dr. Sokoloff should die or become unable to carry on his practice, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Sokoloff may terminate this Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, either in whole or for you specifically, in which case a prorated portion of the annual Program Fee may be refunded. Regardless of whether this Program Agreement is terminated, you and Dr. Sokoloff agree not to seek Medicare reimbursement for services rendered to you by Dr. Sokoloff under this Program Agreement.

Additional Provisions

This Program Agreement will be governed by the laws of the State of Delaware. This Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Sokoloff. [Signature Page Follows] TOTAL ACCESS PROGRAM AGREEMENT Exhibit A

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All medical services provided by Dr. Sokoloff according to services requested via signed program agreement	Associated annual program fee according to services requested

PROGRAM AGREEMENT (download)

This program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Robert Weiss, M.D. P.C. (“Dr. Weiss”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of this Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Weiss. “You” or “the Patient” refers to the patient whose signature appears on the signature page of this Program Agreement. If the signature page of this Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in this Agreement to “you” or “the patient” refers to each such member of your family. This Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to this Program Agreement in connection therewith. “Dr. Weiss” refers to Robert Weiss M.D. P.C., and to Robert Weiss, M.D., individually. Dr. Weiss will be your primary care physician for as long as this Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, a Delaware limited liability company. Total Access is the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Weiss is not an employee of Total Access. So long as you participate in the Total Access Program, Dr. Weiss will have sole authority over and responsibility for the provision by Dr. Weiss of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in this Program Agreement in an effort to make your experience of being cared for by Dr. Weiss as convenient and as effective as possible. Neither Dr. Weiss nor Total Access is responsible for the obligations of the other under this Program Agreement.

Weiss’ Responsibilities

Dr. Weiss agrees to arrange his practice so as to be able to afford to you the care and attention described in this Program Agreement. In general, Dr. Weiss will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Weiss during the term of this Program Agreement. Dr. Weiss will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in Bala Cynwyd, Pennsylvania. Dr. Weiss will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Weiss will provide you with such other primary care services as you request at the fee schedule attached to this Program Agreement as Exhibit A. From time to time, Dr. Weiss may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Weiss will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Weiss takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Weiss will agree to see you in his office within one hour of a time specified by you during the next business day after you call for an appointment. In general, and when possible, Dr. Weiss will come to your home if medically necessary for a house call on the evening of the day on which you request a house call. In general, Dr. Weiss will coordinate care, and at Dr. Weiss’s medical discretion, meet you in the emergency room if you are required to make an emergency room visit (although Dr. Weiss will not be authorized to practice emergency medicine in the emergency department of most hospitals). In general, Dr. Weiss will accompany you to appointments with specialist physicians to whom Dr. Weiss refers you for specialist care if you so request. A portion of the Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Weiss and paid to Dr. Weiss as payment for the clinical and non-clinical services that Dr. Weiss agrees to provide to you under this Program Agreement and that are not separately compensated pursuant to Dr. Weiss’s fee schedule.

Total Access’s Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 3 with the objective of making your primary care experience with Dr. Weiss as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Weiss and specialists and providers of ancillary services to whom he refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Weiss of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Weiss’s e-mail and obtain claims processing support from Total Access. Total Access will handle any questions or concerns you have regarding the provision by Dr. Weiss of primary care services in accordance with this Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your commercial health benefits insurance provider. If you wish to use this service of Total Access, please notify Total Access’s patient service personnel or visit our website, and you will be provided with forms to complete in order to authorize Total Access to provide this service. Total Access will arrange for express mail (next day delivery) or (if requested by Dr. Weiss) same-day home delivery service from a Total Access – designated pharmacy for prescription drugs that have been prescribed for you by Dr. Weiss, provided that you or your health plan have paid for the cost of the prescription. If you wish to utilize this service, please visit our website or so notify a Total Access patient service representative and you will be provided with the necessary forms to open a credit card charge account at the Total Access-designated pharmacy. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Within 90 days after you first subscribe to the Total Access Program, Total Access will assemble on your behalf a comprehensive medical record that is only available to you and health care providers you authorize. If you wish to use this service, please visit our website or so notify a Total Access patient service representative and you will be provided with the necessary patient authorization and other forms to allow Total Access to assemble your medical record on your behalf. Total Access’s patient service staff will be available to assist you and provide the services described in this Section 3 during the hours of 8 a.m. to 5 p.m. each business day.

Your Responsibilities

You agree to pay the Total Access Program Fee described on the signature page of this Program Agreement within 10 days after the date of each billing (the first payment is due when you sign this Program Agreement). The annual Program Fee is payable annually in advance. If you wish to finance your Program Fees, Total Access will introduce you to a third party financing source for such purpose (subject to availability and lending restrictions). You understand that Total Access may change the schedule of Program Fees at any time by sending to you a new schedule of Program Fees (any revised Program Fee schedule will be applicable at your next annual renewal date). You also agree to pay Dr. Weiss’s bills for physician services in accordance with the applicable fee schedule within 10 days after the date of each applicable invoice. You have no other obligation under the Total Access Program. You may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. You understand that in the event you elect to terminate your participation, a prorated portion of the annual Program Fee will be refundable. If you elect to terminate your participation in the Total Access Program, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Weiss on a date that is no later than the date of your termination. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Weiss has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Weiss has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Weiss submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Weiss even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Weiss. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into this Program Agreement for the provision by Dr. Weiss of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You may terminate this Program Agreement at any time by notifying Total Access of your termination at least 30 days prior to the date on which your termination is to be effective. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Weiss under this Program Agreement, your right to terminate this Agreement will be your only remedy (subject to any rights that are non-waivable by law). You understand that you will need to identify a new primary care physician prior to the date on which your termination is effective, and that a prorated portion of the Annual Fee will be refunded. If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer this Agreement to the other participating physician without penalty. Total Access or Dr. Weiss may terminate this Program Agreement at any time and without any further obligation if Dr. Weiss should die or become unable to carry on his practice, or on 30 days notice to you if you fail to pay any amount due hereunder. In any such event there will be a refund of a prorated portion of the Program Fee. Total Access or Dr. Weiss may terminate this Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, in which case a prorated portion of the annual Program Fee will be refunded. Regardless of whether this Program Agreement is terminated, you and Dr. Weiss agree not to seek Medicare reimbursement for services rendered to you by Dr. Weiss under this Program Agreement.

Additional Provisions

TOTAL ACCESS PROGRAM AGREEMENT Exhibit A Fee Schedule for Primary Care Services

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All medical and non-clinical services provided by Total Access and Dr. Weiss according to services requested via signed program agreement	Associated annual program fee according to services requested

PROGRAM AGREEMENT (download)

The program agreement (the “Program Agreement”) is made as of the date set forth on the signature page hereof by and among Total Access Medical LLC (“Total Access”), Roger E. Stumacher, M.D. LLC. (“Dr. Stumacher”) and the patient identified on the signature page hereof. The Parties and Their Roles The purpose of the Program Agreement is to set forth the terms on which you will participate in the program (the “Total Access Program”) designed by Total Access for the provision to you of primary care services by Dr. Stumacher. “You” or “the Patient” refers to the patient whose signature appears on the signature page of the Program Agreement. If the signature page of the Program Agreement indicates that the Patient means a couple or a family (parents and children), then any reference in the Agreement to “you” or “the patient” refers to each such member of your family. The Program Agreement describes the Total Access Program, and the rights and responsibilities of the three parties to the Program Agreement in connection therewith. “Dr. Stumacher” refers to Roger E. Stumacher M.D. LLC., and to Roger E. Stumacher, M.D., individually. Dr. Stumacher will be your primary care physician for as long as the Program Agreement remains in effect. “Total Access” refers to Total Access Medical LLC, the company that has designed the Total Access Program, and will administer certain of the non-clinical aspects of the Total Access Program. Total Access is not a provider of medical or other healthcare services, and Dr. Stumacher is not an employee of Total Access. Total Access is not an insurance plan and does not replace your traditional insurance plan. So long as you participate in the Total Access Program, Dr. Stumacher will have sole authority over and responsibility for the provision by Dr. Stumacher of medical services to you. Total Access will, however, be available to you to provide the non-clinical services described in the Program Agreement in an effort to make your experience of being cared for by Dr. Stumacher as convenient and as effective as possible. Neither Dr. Stumacher nor Total Access is responsible for the obligations of the other under the Program Agreement.

Stumacher’s Responsibilities

Dr. Stumacher agrees to arrange his practice so as to be able to afford to you the care and attention described in the Program Agreement. In general, Dr. Stumacher will not accept patients other than those who have entered into Program Agreements to be part of the Total Access Program, and no more than 600 patients will be parties to Program Agreements with Total Access and Dr. Stumacher during the term of the Program Agreement. Dr. Stumacher will provide primary care services to you at a level of professionalism and expertise that is consistent with that manifested generally by primary care practitioners who are practicing in Bala Cynwyd, Pennsylvania. Dr. Stumacher will provide you with one comprehensive physical exam per year, scheduled at a mutually convenient time, at no additional charge. Dr. Stumacher will provide you with such other primary care services as you request at the fee schedule attached to the Program Agreement as Exhibit A. From time to time, Dr. Stumacher may change his fee schedule by sending you a notice enclosing a revised fee schedule. Dr. Stumacher will use his best efforts to be available to you by telephone, by e-mail or in person (or to have a qualified substitute physician available to you by telephone, by e-mail or in person during those times when Dr. Stumacher takes a day off or is on vacation) twenty four hours per day seven days per week. In general, Dr. Stumacher will agree to see you in his office within two business days after you call for an appointment. In general, and when possible, Dr. Stumacher will come to your home for a medically necessary house call within two business days after a house call request is made. In general, Dr. Stumacher will coordinate care and communicate with specialists physicians, including emergency room physicians in the event of hospitalization. The Program Fee that you pay under the Total Access Program will be collected by Total Access on behalf of Dr. Stumacher and forwarded to Dr. Stumacher as payment for the clinical services that Dr. Stumacher agrees to provide to you under the Program Agreement.

Total Access’ Responsibilities

Total Access agrees to provide the non-clinical services described in this Section 2 with the objective of making your primary care experience with Dr. Stumacher as convenient and effective as possible. Total Access will assist you in scheduling appointments with Dr. Stumacher and specialists and providers of ancillary services to whom he refers you on a basis that is as convenient for your schedule as possible. Total Access will facilitate the provision to you and to Dr. Stumacher of the results of consultations with specialists and ancillary service providers. Total Access will maintain a website through which you can access Dr. Stumacher’ e-mail. Total Access will handle any questions or concerns you have regarding the provision by Dr. Stumacher of primary care services in accordance with the Program Agreement. Total Access will, if you so request, handle as your agent the paperwork that is required in order for you to obtain payment or reimbursement from your pre-tax health benefits insurance plan if it provides coverage for this type of service. Total Access will arrange for either office dispensing, express mail or (if requested by Dr. Stumacher) same-day home delivery service from a Total Access-designated pharmacy for prescription drugs that have been prescribed for you by Dr. Stumacher, provided that you or your health plan have paid for the cost of the prescription. Total Access will provide you with general wellness information and reminders on a periodic basis. Total Access will collect publicly available data and will provide you with travel advisories and information relating to inoculations that are recommended by the U.S. Department of State for travel to locations that you specify. Total Access’s patient service staff will be available to assist you and provide the services described in the Section 3 during the hours of 9:00 a.m. to 5:00 p.m. each business day.

Your Responsibilities

You agree to make yourself available at all reasonable hours for examination and diagnosis by Dr. Stumacher in person, if required by Dr. Stumacher. You agree to fully and completely follow all instructions given by Dr. Stumacher, and to complete all courses of treatment to the best of your ability. It is impossible to forecast any particular outcome of your course of treatment, and Dr. Stumacher does not and cannot guarantee a successful outcome. Your cooperation in your care is critical to a successful outcome. You agree to pay the Total Access Program Fee described on the signature page of the Program Agreement within 30 days after the date of each billing (the first payment is due when you sign the Program Agreement). The Program Fee is due in advance of the covered time period. You understand that the schedule of Program Fees may change at any time and you will be sent a new schedule of Program Fees. Any revised Program Fee schedules will be applicable at your next annual renewal date). You also agree to pay Dr. Stumacher’s bills for any additional products or services not included in the Program Fee as described in Exhibit A within 15 days after the date of each applicable invoice. You understand that you will be responsible for obtaining and maintaining your own health insurance. If you are a patient who is entitled to benefits under or is enrolled in Part B of Medicare, you (I) acknowledge that Dr. Stumacher has not been excluded from participation under the Medicare Program, and (ii) understand that Dr. Stumacher has voluntarily elected to opt out of the Medicare Program. You agree not to submit a claim (or request that Dr. Stumacher submit a claim) under the Medicare Program or to any intermediary or carrier of the Medicare Program for any portion of the Total Access Program Fee or for any physician services bill rendered to you by Dr. Stumacher even if such services are otherwise covered by Medicare. You acknowledge that you will be responsible for payment for such services and that no reimbursement will be provided under the Medicare Program or any Medigap plan for the Total Access Program Fee or any such physician bill and that other supplemental insurance plans may elect not to reimburse you for such items. You further acknowledge that the limits the Medicare Program places on what a physician participating in the Medicare Program may charge for services rendered do not apply to the Total Access Program Fee or to any physician services bill rendered to you by Dr. Stumacher. Further, you acknowledge that (a) you have the right to obtain Medicare-covered services from physicians who have not opted out of the Medicare Program, (b) you are currently not facing an emergency or urgent health care situation, and (c) you have voluntarily elected to enter into the Program Agreement for the provision by Dr. Stumacher of services that might be eligible for payment or reimbursement by Medicare if they were rendered by a physician who continued to participate in the Medicare Program subject to the submission of an appropriate Medicare claim.

Termination

You understand that the Program Agreement is valid for a minimum of one (1) year. After your first year’s enrollment, you may decide to terminate your participation in the Total Access Program at any time by sending a notice to Total Access at least 30 days before the day on which you wish your termination to be effective. After your first year of enrollment, in the event you elect to terminate your participation, a prorated portion of the annual Program Fee may be refundable. If you elect to terminate your participation in the Total Access Program after the first year, you understand that you will need to select a new primary care physician before the time at which your termination is effective. If you notify Total Access of the name of your new primary care physician, with your written authorization, Total Access will provide for the transfer to your new primary care physician of the medical records then maintained by Dr. Stumacher on a date that is no later than the date of your termination. You understand that, should you be dissatisfied with any of the non-clinical services provided by Total Access or any of the services provided by Dr. Stumacher under the Program Agreement, your right to terminate the Agreement will be your only remedy (subject to any rights that are non-waivable by law). If you should wish to change your primary care relationship to another Total Access participating physician, and if the other physician has available capacity in his or her practice, Total Access may, by mutual agreement with you, transfer the Agreement to the other participating physician, including without penalty. Total Access or Dr. Stumacher may terminate the Program Agreement upon 30 days prior notice to you and without any further obligations if you fail to pay any amount due hereunder. Total Access or Dr. Stumacher may terminate the Program Agreement at any time and without any further obligation if Dr. Stumacher should die or become unable to carry on his practice, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Stumacher may terminate the Agreement upon 30 days prior notice to you if in the view of either of them the continuation of the Total Access Program has become impracticable, either in whole or for you specifically, in which case a prorated portion of the annual Program Fee may be refunded. Total Access or Dr. Stumacher may terminate the Agreement upon 30 days prior notice to you if in the professional judgment of Dr. Stumacher, you are not following the prescribed medical regimen or you do not make yourself available for examination and diagnosis by Dr. Stumacher as he may reasonably require, in which case a prorated portion of the annual Program Fee may be refunded. Regardless of whether the Program Agreement is terminated, you and Dr. Stumacher agree not to seek Medicare reimbursement for services rendered to you by Dr. Stumacher under the Program Agreement.

Additional Provisions

The Program Agreement will be governed by the laws of the Commonwealth of Pennsylvania. The Program Agreement sets forth the entire agreement of the parties with respect to the subject matter hereof, and may not be amended except by a written instrument signed by you, Total Access and Dr. Stumacher. TOTAL ACCESS PROGRAM AGREEMENT Exhibit A

Service	Fee
One Comprehensive Physical Exam Per Year	No Additional Charge
All primary care medical services (not supplies) provided by Dr. Stumacher via signed program agreement	No Additional Charge

Phone Number	Type