Create a new Healthtek Portal Account

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1Customer Information

2Plan Information

3Payment

Primary Contact Information

Company representative's name:

First

Last

How would you like to be contacted?

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Company Information

Company name:

Company website / URL:

Main company Employee Assistance Program (EAP) provider:

Select a portal theme you would like:

..?

What Portal plan are you interested in?

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The Steps

This web form is designed to walk with you down the path of creating a new Healthtek Portal account.

Here are the steps we take:

Customer Information

This step asks for contact information about the company this account will be created for and who the primary point of content will be.

Plan Information

This step lets you define the type of Healthtek Portal you would like and how you would like it optionally setup. Please be ready to share any logo or brand information you would like.

Payment

In this step you will choose your payment options and complete your order.

Personal Note

Every one of these steps is optional. If you would like to speak with a +Health team member, please contact us here and we would be happy to walk this path with you in person.