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.
Enrollment in the Healthy Contributions Program results in a 10% monthly reimbursement (up to $20 total) of your insurance premiums for 12 or more visits per month to any of our facilities. Please complete and email your completed form to email@example.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.
- American Specialty Health (ASH)
- At Your Best
- BCBS MN
- Tivity Health
- People’s Health
- Optum Fitness Advantage (OFA)
- Union Pacific Railroad (UPR)