Welcome to Best in Class Care Sign Up

Name, Email, Password, Security Question
* Required

Name

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Email Address

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Password

Passwords must be at least 8 characters and must contain at least 1 upper case letter, 1 lower case letter, and at least 1 number.

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Security Questions

Please select your security questions from the drop down options below and type the answers into the corresponding fields. If, at any point, you wish to change or reset your security settings, you will be required to answer one or more security questions.

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Mailing Address, Phone Number
* Required

Mailing Address

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Phone Number(s)

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Healthcare Information, Passport Information
* Required

Healthcare Information

Please provide information about your primary care provider, if you have one.

Passport Information


Expiration:
Policy Agreement, Create Account

Policies

To complete the Sign up process, you must check both boxes below, indicating that you have read, understand and agree to the Best in Class Care Privacy Policy and Terms and Conditions. Once both boxes are checked, the “Save and Create Account” button will become active, allowing you to complete the sign up process.

Privacy Policy
In the United States, your personal health information is protected by HIPAA, and we abide by all the requirements of that law. We also take further steps to safeguard your privacy. Read the full Privacy Policy.
Terms and Conditions
By signing up for an account, you agree to our Terms and Conditions. Read the full Terms and Conditions