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Membership Application

Referred by your insurance company or treatment center?

They should have provided you with a coupon code to use. (If they haven’t, please request one from them and come back to us.) Fill out the entire application and when you get to the membership plan, select I have a coupon code.

If you were not referred by your insurance company or treatment center: 
Complete the application and select a payment plan.

Once you’ve completed this simple form, you will receive an email with your login details including your username and password allowing you to gain access within minutes!

**Please check your spam folder (or promotions folder in Gmail) if you don’t find your email from us immediately.