Free Trial

Signup for Our Free Trial

Signing up for our free trial is simple and now available for U.S.-based companies only.

1. Fill out our Free Trial registration form – no credit card required!
2. Test drive Health Portrait™ and Group Portrait™ Developer for yourself.
3. Contact us with questions or information on pricing for your employees.

More information about our free trial is available here.

Tell us about yourself. All fields are required.

First Name

Last Name

Title

Date of Birth

Gender

Male Female Why do we ask for DOB & Gender?

By registering for our services you will have access to the Health Portrait™ Health, Lifestyle & Readiness Assessment. We gather your date of birth only so that we can privately help you to be included in incentive programs and other services in which you may need us to assist you. Additionally, the questions this assessment asks are gender-dependent as health conditions differ between males and females. Medforma fully complies with HIPAA and keeps all of your individual data private and secure for you and only you unless you authorize us to do otherwise.

Company name

Address1

Address2

City/State/Zip

Phone

Number of employees in your company

Setup access to your personal account:

This is how you will login to Medforma.com to access Health Portrait™ and Group Portrait™

Username

Password

Confirm password

Almost done:

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You must accept the terms of service before signing up.

If you do not receive your registration welcome email, check your spam folder and be sure to add welcome@medforma.com to your safe sender list.