Use this form to apply/enroll in the Take Control program. (If you already have or have had an appointment with one of our health coaches, you are already enrolled.) If you are already enrolled, click here to login to our web site. If you cannot figure out how to log in, send us a message and we’ll let you know.
After you submit this form, we’ll call you to finish the enrollment process.
Just click “Submit” one time — it takes a minute or so to process. A confirmation page will come up.