2026 cohort now forming

Launch your own cash-pay practice in 6–8 weeks.

A simple way for MDs, NPs, and PAs to open a direct-care clinic—without dealing with insurance panels, complex systems, or figuring it all out alone.

Apply to the 2026 cohort → See how it works
Model Cash-pay or membership, part-time or full-time
Straightforward investment • No revenue share • Your practice stays yours
Who this is for

You want to practice medicine, not chase RVUs.

This is for clinicians who want autonomy and a patient-first practice—and are ready to invest in building something of their own.

Pain

Your current job runs your life.

  • Productivity targets, prior auths, and inboxes eat into the time you actually spend with patients.
  • You’re charting at home and feel like you’re always “behind.”
  • You know you can’t keep doing this pace forever.
Goal

You want a direct-care clinic that grows at your own pace.

  • Patients who choose you and pay you directly—no insurance middle layer.
  • Visit lengths and follow-up that match how you actually want to practice.
  • A clear home for your schedule, notes, and patient communication.
Blocker

You don’t want to guess on setup.

  • You’re unsure where to start with entities, state rules, and forms.
  • You don’t have time to try five different systems and hope they work.
  • You’d rather make a clear, one-time investment to get it right from the start.
How it works

A clinic launch, broken into plain steps.

You bring your training and clinical judgment. We help you design the practice, build the systems, and open to your first patients.

1

Design your practice.

We start with a focused conversation:
  • Who you want to see and what you want to offer.
  • A-la Cart, membership, or a hybrid so it works for you.
  • How your license and state rules shape the practice.
2

Set up your clinic systems.

We set up one place where you can:
  • Be booked online by patients.
  • Collect intake information and consents.
  • Write and store visit notes.
  • Send reminders and collect payment.
3

Open and grow.

We walk with you through your first weeks:
  • A clear 6–8 week plan so you know what to do when.
  • Simple messages you can send to invite patients in.
  • Support as you adjust schedule, fees, and visit types.
MDs, NPs, & PAs

Different letters, same desire: more say in your work.

We keep the details of your license and state in mind, but the heart of it is the same—you having your own panel, on your own terms.

For NPs

Build a practice that fits your life.

Especially if you’re in a full-practice-authority or NP-friendly state.
  • Clarify what you can do independently where you live.
  • Decide if this is a side clinic or your main work.
  • Use one place for scheduling, intake, notes, messages, and payment.
  • Keep your own name, clinic brand, and panel—no one on top of you.
For PAs

More control, within your state’s rules.

For PAs who want more say in how and where they practice.
  • Understand what’s possible with your supervising or collaborating MD.
  • Shape a clinic that respects your agreements and time.
  • Run everything in one place, instead of scattered tools.
  • Explore (where possible) connections with MDs open to collaboration.
For MDs

Create your own landing spot.

For physicians who want out of the current grind, but don’t want to jump without a plan.
  • Design a direct-care clinic at a size that feels safe to you.
  • See what different panel sizes and fees could look like.
  • Have one home for your schedule, intake, notes, and follow-up with patients.
  • Start small, protect your license, and grow if and when you’re ready.
What’s included

An investment in your own clinic, not someone else’s brand.

You’re investing in the early work: designing your model, setting up your clinic systems, and opening to patients. We don’t touch the income you earn from that work.

Launch Package

Practice Planning Session
  • 60 minute session to design the kind of clinic you want.
  • Talk through your practice design - memberships offerings, services, patient journey.
  • State- and role-aware checklist to bring to your own counsel.
Entity & Policy Guidance
  • Examples of how other small clinics are structured.
  • Suggested questions to ask legal and accounting support.

We don’t replace your lawyer or accountant—we help you come prepared to use them well.

Clinic Systems Setup
  • Online booking tool and clinic website.
  • Custom intake forms, consents, and visit note templates.
  • Card payments and, if you choose, membership plans.
  • Automatic reminders and simple follow-up messages.
Launch Plan & Support
  • A week-by-week plan for your first 6–8 weeks.
  • Ready-to-use messages for patients and referral sources.
  • Check-ins to help you adjust as you learn.
How the investment works

As part of the cohort, you make a one-time investment to help set up your clinic and a smaller, ongoing monthly investment to keep everything running. That’s it. You keep what you earn from visits and memberships.

What we do not take

We don’t take a percentage of your revenue, charge per-visit fees, or ask you to sign away your brand. Your clinic name, your patient relationships, and your income stay with you.

Why this instead of a franchise?

Franchises and large groups often own the brand and keep a share of what you bring in. Here, your investment goes into building your own clinic. We’re behind the scenes helping you stand it up—not in the middle of every dollar you earn.

Apply

If you’re even considering your own clinic, start here.

The founding group is small on purpose, so we can stay close to each clinician and refine the process with you.

The short form helps us understand your role, state, and what you hope to build. It’s not a commitment—it’s a first step in deciding if this is the right move and the right time.

  • 2–3 minutes to fill out.
  • We review each response personally.
  • We’ll reply with honest next steps and investment details.
Founding cohort is limited so we can give real support.

Share where you are and where you’d like to go.

Click below to open the application. Tell us how you’re working now, what’s not working, and what you’d like your own clinic to look like over the next year.

Open application form ↗

If we don’t think this is the right investment for you right now, we’ll say that plainly and share what we would do in your shoes.

FAQ

Questions clinicians usually ask.

A few of the most common questions as MDs, NPs, and PAs think about starting their own clinic.

Do I need a separate EHR?

Many small cash-pay and membership clinics run safely with one main system for scheduling, intake, notes, and payment. In some specialties or states, you may still want or need a separate record. We’ll talk through what makes sense for your situation and how to keep it simple.

Is this allowed in my state for my license?

Rules vary by state and by role. We bring you checklists and examples, but you make final decisions with your own legal and professional guidance. A big part of this process is making sure you understand the guardrails before you invest time and money.

Can you help with collaborating physicians for NPs/PAs?

In some states and situations, yes—we’re building a community that connects MDs and NPs/PAs who want to work together. It’s not guaranteed everywhere, and we’ll be direct about where we can help and where we can’t.

What kind of investment should I expect?

For the founding cohort, there is a one-time investment to plan and set up your clinic, and a smaller ongoing monthly investment to keep your systems running. We’ll share exact figures after reviewing your application and understanding your goals—but there are no surprise add-ons and no share of your clinical income.

Can I keep this as a side clinic?

Yes. Many clinicians start with one or two clinic sessions a week and a small panel. We’ll help you design something that respects your current job, family life, and energy—and can grow if and when you’re ready.