This account creation form is designed to allow for the easy delivery of basic Knowledge Hub account customization options.

Step one is to let us know who you are.

Step two asks for product details that relate to the client's services.

Step three gives space for client brand customizations.

This information will then be delivered to an Anthem representative for implementation and account creation.

When complete, you will be the returned of a new client PURL (personalized URL) and related QR code for your use.

Note: Please allow up to three business days for delivery. If you have not received your PURL in that time, please contact support.