Membership Application

Complete the Membership Intake form so we can process your membership. Please provide all information accurately so that we may verify with your physician office. Please allow 48 hrs for verification & processing. All 1st Amendment members are required to have a consultation with our in house spiritual counselor as a part of our intake process. 1st amendment encompasses freedom of religion and conscience. It protects sincerly held beliefs.

Georgia First Amendment Clients use our Groups tab for processing. (Religious Groups) 

8am-10pm 7 Days a week.


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"A Union of the people for the people, created to fight sides with the people"                             (The sick, the ill and the strong will withstand to the end, unified and fearless)

                                                                                                      501(c)(3) non-profit corp.
 Corporate Office 6765 Westminster Blvd Suite C, Westminster CA 92683

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