Create a CareCommunity – Journey Health Labs

Fields with a red border are required and must be completed.

1 About You

2 About Your Business

3 About Your CareCommunity

4 Terms & Conditions

Your Name*
Your first name Your last name
Your Email*
Your email Confirm your email
Your Contact Number*
Your Alternate Contact Number

Your Business Name*
Your Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CareCommunity Type*
Patient Population*
Patient Population*
CareCommunity Name*
CareCommunity Short Name*
Disease state focus*
Add New Disease State Focus*
Describe Your CareCommunity*
Private CareCommunity
- This is a Private CareCommunity

Terms & Conditions*
All Terms & Conditions are required
- I acknowledge and agree that the ENCOURAGE CareCommunity platform is the property of Journey Health Labs and is being licensed to me for my use.
- I acknowledge and agree that the ENCOURAGE CareCommunity platform is provided to me as AS IS and without any warranties.
- I acknowledge and agree that Journey Health Labs is not liable for any damages (direct or indirect) arising from the use of the platform and services.
- I acknowledge and agree to use the ENCOURAGE CareCommunity platform in a judicious manne and in accordance to the policies governing its usage. Should I breach the agreement, Journey Health labs shall suspend and terminate my access and usage of the platform immediately and without notice.
- I acknowledge and agree to receiving sponsored content that is relevant to my CareCommunity. (Sponsored Content helps keep our lights on!)