HealthAssist Choices

Registration - Step 1
Enrollment Form
Name:
First Name MI Last Name
State of Residence:
Gender:
Birth Date:  View Calendar    (mm/dd/yyyy)
Email Address:
Confirm Email Address:
Protect your information with a password
Enter a new password:
Confirm new password:
The Association has contracted with Coterie Advisory Group to handle online Membership Enrollment. This site is for Association Membership Only. There is no access to insurance products available or required to enroll in association membership via this enrollment website. Association member benefits listed on this enrollment site are for summary purposes only and may not be a full description of the program. Certain features may be subject to additional guidelines, terms, or rules. Membership terms can be found on the association membership website at www.associationforbetterhealth.org. Please note that third party products and services are governed by separate terms and conditions that may be different than ours. Products and services may be subject to change.


Association for Better Health | 602-888-8133 | www.associationforbetterhealth.org

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