Annual membership fees are considered by our office to pay for your annual physical which is a qualified medical exepense and generally tax deductible. If needed for tax purposes, please ask for an invoice at the time of your physical if you will be paying up front for your fee for the year. If you would rather pay in monthly installments towards the cost of your annual physical and need a receipt for tax purposes, please request a receipt at the end of the year.  Consult your tax professional with any further questions as we cannot give individual tax advice.