Complete registration and forms before your first session- what could be easier?
If you are completing for a minor, please use minor’s name and information.
Healthy Contributions Enrollment Form
Enrollment in the Healthy Contributions Program results in a monthly reimbursement (maximum $20) based on number of visits per month to any of our facilities (typically 12 visits per month required for reimbursement). Please complete and email your completed form to nicole.mattson@tphmn.com along with photo copies of your insurance card and a voided check.
Accepted Insurance Programs: Eligibility can vary between networks and plans, so it is recommended to contact your insurance company directly to determine eligibility and requirements for reimbursement.
- American Specialty Health (ASH) Exercise Reward Program (ERP)
- Avera Health Plans
- HealthPartners
- Medica
- Minnesota Laborers Health and Welfare Fund Fitness Program
- PreferredOne Fitness Advantage Program
- UCare