Enroll · Free & Confidential

Sign up for a cohort.

Fill out the form below to enroll. Once you sign up, we’ll call you within 1–2 business days to confirm your spot and share session details. There is no fee.

Your Information

Enrollment form.

The information you submit is private. Your name and contact details are seen only by the HEALCARE study team. No other participants will see who has signed up.

Full Name *

Age *

Phone Number *

Email (optional)

ZIP Code *

Choose Cohort *

How did you hear about HEALCARE? (optional)

Anything we should know? (optional)

About your privacy. Your name, phone number, and email are submitted directly to the HEALCARE study team and stored securely. They are never shown to other participants, never displayed on this site, and never shared outside the program. You can ask us to remove your information at any time by calling Brittany Transou at (706) 550-7497.

I understand that HEALCARE is a 6-month program with twelve sessions, and I will do my best to attend all of them. *

I give the HEALCARE team permission to contact me by phone or email about my enrollment. *

We’ll be in touch within 1–2 business days to confirm your spot.

Thank you for signing up.

We’ve received your enrollment. Brittany Transou will call you within 1–2 business days to confirm your cohort and share session details. If you have questions before then, call her directly at (706) 550-7497.

Sign up for a cohort.

Spots still open.

Enrollment form.