Welcome to Get Healthy Pensacola! . . . it's rewarding!

To become a Get Healthy Pensacola Member, please sign up online now!
To sign up via mail click on the image below, download the membership form and mail it to to the address on the form along with your one-time $10 registration fee

New Member Information

First Name
Last Name
Address 1
Address 2
City
State
Zip Code
Date of Birth (Format: MM/DD/YYYY)
Gender
Phone Number (Format: 850-555-1212)
Email Address
Have you used BHC services in the past 2 years?
How did you hear about Get Healthy Pensacola?

Please choose a password to use with your Get Healthy Pensacola! online member account. Passwords must be 5 - 10 characters in length.

Choose Password
Confirm Password

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Payment/Credit Card Information

You can now conveniently charge your one-time membership fee of $10 online using your credit card. Simply fill out the credit card information below.

Credit card information same as member information

One-Time Membership Fee	$10.00

First Name
Last Name
Address
City
State
Zip Code
Credit Card Number
Expiration Date
Card Verification Value (This is a 3 digit number located on the back of your credit card)

	As part of my membership, I will receive email updates and reminders from Get Healthy Pensacola! and Baptist Health Care. I understand that I can opt-out and stop receiving email updates at anytime.
	I agree to the Get Healthy Pensacola and Baptist Health Care Terms of Use