Register a Company

Watch this video to better understand how this program can benefit your employees.

Required fields are marked with an asterisk *.

First Name *

Last Name *

Job Title *

Company Name *

Street Address *

Address Line 2

City *

State

Phone Number

Stay Connected

Yes, I would like to be notified via email about events, seminars or services from Medical City Healthcare.

Number of Employees in Company

Estimated Number of Employees who will participate in the 21-Day Challenge *

We require a minimum of 30 participants

What incentives will you offer your employees for completing the challenge?

Wellness Points

Gift Cards

Paid Time Off

Other

If you checked other, please describe incentives

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