Join the Practice.

Direct primary care membership with Dr. Christian Smith. No insurance, no middlemen, no data mining. Just direct access to your doctor—paid in dollars or Bitcoin.

  • Most primary care is built for insurance companies, not patients. Our membership model removes them entirely. You pay a flat monthly fee directly to the practice for unlimited access, same-day visits, and proactive care.

  • Included in Membership

    Annual physical & routine labs

    EKG, urinalysis, rapid strep

    30–60 minute visits

    Same-day/next-day acute visits.

    ‍ ‍

    Not Included (We’ll Help)

    Imaging (MRI/CT at wholesale)

    Specialist referrals (at cash rates)Surgery & hospitalization

    Prescriptions (sent to lowest-cost pharmacy)

    Direct text/phone/Proton Mail access

  • 1. Apply
    Complete the secure membership application and pay the one-time enrollment fee. We review every application personally.

    2. Onboard
    Sign your membership agreement and schedule your comprehensive intake visit. This is where we establish your baseline and health goals.

    3. Access
    Text, call, or message via Proton Mail. Need a visit? You’ll be seen same-day or next-day.

  • This is for you if:

    • You want direct access to your physician without navigating a portal

    • You value privacy in both your medical and financial life

    • You’re self-employed, between jobs, or simply opt out of traditional insurance

    • You believe healthcare should have transparent, upfront pricing

    This is not for you if:

    • You want a hospital system with a cafeteria and valet parking

    • You prefer insurance companies to negotiate your bills in secret

    • You need 24/7 emergency room care (for emergencies, call 911 or go to the ER)

Payment and Privacy.

Your Data, Your Money

We communicate exclusively through Proton Mail—encrypted, zero-access, no scanning for ads. Your clinical records are stored on HIPAA-compliant, encrypted infrastructure.

For payment, we accept traditional methods, but we also welcome Bitcoin and Lightning Network payments. No financial surveillance. No reporting to third parties.

FAQs

Do I still need insurance?
Yes, but for catastrophic coverage only. We recommend a high-deductible plan or health share for hospitalizations and major events. Your membership covers 90% of what you'll actually use a doctor for.

Can I really pay in Bitcoin?
Yes. Membership dues and visit fees can be paid via Lightning Network or on-chain Bitcoin. We use Zaprite for secure, non-custodial invoicing.

What if I move or need to cancel?
Memberships are month-to-month after a minimum six-month commitment. Cancel anytime with 30 days notice.

Is my information secure?
All messaging is handled through encrypted Proton Mail. Your records are never stored in a commercial cloud accessible to advertisers or data brokers.

Do you see Medicare/Medicaid patients?
Dr. Smith has opted out of the Medicare program. Services are provided via private contract. Patients may not seek Medicare reimbursement for DPC membership fees. We do not currently enroll Medicaid beneficiaries.

What geographic area do you serve?
Mount Airy and Central Maryland. Certain services may be available via telehealth where appropriate.

Ready to Join?

Membership is limited to ensure every patient gets the time they deserve. Apply today to secure your spot.

Application fee: $100 | Monthly membership billed after approval

Get Started