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Join Today!

Join Chiropractic Lifecare of America today to start enjoying affordable, easy to access, quality chiropractic care for the whole family.  Remember, there is no risk to you.  We will refund the full cost of your membership - at any time - if you use your Chiropractic Lifecare Card during the membership year and do not save at least the cost of your membership.

Here's how your family membership will help you, starting today:
50% off initial exams, consultation and diagnostics 50% off the cost of in-house x-rays From 20-35% discount on spinal adjustments Up to 50% discount on other chiropractic services Unlimited visits for you and your family No pre-existing conditions withheld Additionally covers all immediate family members listed on your tax form as dependents.

Joining is quick and easy. Just fill out the form and click the submit button.

You'll receive your confirmation by e-mail, and your full membership kit by mail in 4-6 weeks, but you can start using your Chiropractic Lifecare of America membership right away! Just print your e-mail confirmation and use it as your temporary membership card.

If you have any questions, we're always here to help at: (800) 775-7900.

Use this simple form to sign up now or call us toll free to sign up by phone.  Fields marked with an asterisk (*) are required.


Renewing your membership?      If so, check this box:

About You:
Your name: *First:
   Middle:    *Last:
Your address: *Street:
   
  *City:
*State: *Zip:
Your phone: *Home:
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Work: - -

Create Your Logon:
  *E-mail Address: *Verify E-mail:
Please ensure your e-mail address is correct. This will be the address where we send your email welcome packet, your login User ID, and our primary way of contacting you!
*Password: *Verify Password:
Your password is very important. Make sure to keep it in a safe place. Your password should not be based on any personal names or any dictionary words and must contain at least 8 characters which include upper case and lower case letters as well as at least one number or special character.

Payment Information:
  *Card Type:
  *Card Number:
  *Card Verification Number:
  *Expiration Date (MM/YYYY):
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   Please renew my membership automatically.
 

Process Enrollment:
 *I agree to be charged $49.95 for annual membership.
 *I have read and agree to the Terms of Membership.
 *I have read and agree to the Privacy Policy.
 

Chiropractic Lifecare of America is not insurance; it is a discount program.  Please read these legal notices and our privacy policy.



© 2009 Chiropractic Lifecare of America