Enroll - Rethink My Therapy

1 About You

2 Contact Information

3 Address Information

4 Payment

Mdlive_id
MDlive_status
GENDER*
BIrth Date*
Have you ever been in counseling or therapy before?
- Yes
- No

Save and Continue Later

Email*
Name*
FIRST LAST
TELEPHONE*

Save and Continue Later

Would You Like to Receive a Free Gift upon renewal of your subscription?
- Yes
- No
ADDRESS*
STREET ADDRESS ADDRESS LINE 2 CITY POSTAL CODE
State*

Save and Continue Later

Payment Details
Monthly Subscription
Price: $60.00
Will be billed after 30 Days Cancel Anytime with No Fee
Coupon
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
MEMBERSHIP TERMS*
- Select All
- I hereby authorize RethinkMyHealthcare, to automatically charge my credit card or debit card the monthly membership fee. I understand that this charge will automatically be made until such a time that I elect to cancel my membership.
- I hereby acknowledge that I understand that I may cancel my membership at any time without penalty. Upon canceling my membership, RethinkMyHealthcare will immediately discontinue charging the membership fee.
- I hereby acknowledge, agree to, and accept the RethinkMyHealthcare Privacy Policy, the RethinkMyHealthcare Website Use Terms and Conditions, and the RethinkMyHealthcare Terms and Conditions.
- I hereby acknowledge that I understand my membership in RethinkMyHealthcare is not an Insurance product or service. The RethinkMyHealthcare Program is designed to help manage out-of-pocket and self-pay deductible expenses and is in no way to be considered Insurance. All insurance products that I purchase as a Rethink My Healthcare Inc member is a direct relationship between the insurance carrier and myself or my family.
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

If you are in crisis, call the National Suicide Prevention Lifeline, a free, 24-hour hotline, at 1.800.273.8255.
If this is an emergency, call 911 or go to your nearest emergency room. RethinkMyHealthcare does not offer crisis counseling or emergency services.

Payment Details

Resources and Policy

Support