1. Enter Personal Details
  2. Confirm Your Identity
  3. Create User Id
  4. Review & Submit
Apple Logo

Registering to take the Health Assessment?

If you or your dependent(s) are registering to take the Health Assessment, each person must register separately and then log in with their own User ID and Password.

Enter Personal Details

You're just minutes away from accessing your account. Please enter your information to get started.

Please enter your full first name-not a nickname. This information is required. Please enter letters, hyphens, apostrophes, periods or spaces only. Do not use two or more hyphens, apostrophes, periods or spaces in a row.
Recently changed your name? We may have your previous name on file. This information is required. Please enter at least two letters. Hyphens, apostrophes, periods or spaces are also allowed. Do not use two or more hyphens, apostrophes, periods or spaces in a row.
You must be at least 13 years old to register. This information is required. You must be at least 13 years old to register and your date of birth cannot be in the future.
Recently moved? We may have your previous address on file. This information is required. Please enter at least two letters.
Please enter at least two letters.
This information is required. Please enter at least two letters. Hyphens, apostrophes, periods or spaces are also allowed. Do not use two or more hyphens, apostrophes, periods or spaces in a row.
This information is required.
This information is required. Please enter five digits only.

By continuing with this registration, you represent and acknowledge that you are at least 13 years old.

Cancel Please check your information.