MN Nice (Individual)

This membership provides one individual with free everything! It includes chat visits, online video visits, in home visits, select prescriptions, same day prescription delivery, and coaching.

Customer Information

First Name *

Last Name *

Email Address *

Phone

Organization

Billing Information

All transactions are secure and encrypted.

First Name on Account *

Last Name on Account *

Card Number *

CVV *

Expiration Month *

Expiration Year *

Billing Address

Address 1 *

Address 2

Billing Country *

Billing City *

Billing State *

Billing ZIP Code *

Additional Information

How did you hear about Nice Healthcare?

I accept the Terms and Conditions

Setup Fee	$150.00
Recurring Fee (every 12 months)	$855.00
Today's Total	$1,005.00
then $855.00 at first renewal on Apr 20, 2025