New FIT Participant
Google sign-in required.

Your information and the two forms that follow are necessary prior to scheduling group sessions.
Email address *
Name *
Phone *
Our Responsibilities
• We are required by law to maintain the privacy and security of your protected health information.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
• We have a HIPAA Business Associate Agreement with Google to store protected health information.
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