Champion Health Signup Page

Champion Health Members can signup for Pill Pals by using the form below.

Sign Up For Pill Pals
    Strength: Very Weak
    *
    *
    *
    *
    *

    By checking the box above, I am indicating that I agree to the Privacy Policy and Terms of Use of the Pill Pals website. In addition, I have read the Electronic Signature Consent Statement, HIPAA Authorization & Disclosure, and Disclaimer pages.

    By checking this box and signing up for texts, you consent to receive text messages (e.g. account notifications and status reminders). Consent is not a condition of purchase. Msg & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe button link (where available).

    NOTE - Your One Time Passcode (OTP) will be sent to both your email and SMS Phone Number for your convenience

    How do you want to pay?
    Payment Summary

    Your currently selected plan : , Plan Amount :
    Coupon Discount Amount : , Final Payable Amount: