Enrollment Web Page

The link in your invitation email will open the enrollment web page in your browser.  

Page 1

Confirm your date of birth using the format displayed

Create a strong password that you will remember. This, along with your email address, will be the login information you use in the ImagineCare Mobile Application.

Reenter your new password.

Read and accept the End User License Agreement, Privacy Policy, and any Terms of Service. You cannot proceed with enrollment without agreeing to these terms.

Page 2

Enter and/or confirm your personal information.

The following fields are required, and you will not be able to proceed to the next page without completing these fields.

• First Name
• Last Name
• Sex
• Best Number to Call You
• Email
• Home Address
• City
• State
• Zip

Page 3

Let us know where we should ship your Welcome Kit. You can enter a new address if you don't want packages shipped to the Home Address you entered on Page 2.

Confirm any medical conditions listed. 

Congratulations, enrollment complete!