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Quitting is a journey. Different paths and routes can get you to your end goal. Tell us about yourself so we can give you the best guidance for your journey.
Next, set up your login info and communication preferences
If you were referred to EX Program by your employer, health insurance provider, or another sponsor, that means they have paid for you to access premium features. Please provide the information below to access those features.
If you were not referred here, simply check the boxes below each field.
EX Program features are only available to U.S. residents, so please double check your zip code entered above.
In order to take advantage of EX Program features available to you through your employer
or health plan, including any incentive that may be offered by your Sponsor, you must
scroll through and agree to the HIPAA Authorization by checking the box next to "I
agree…" You are free to decline these features and instead use the free version of the
site. To do so, check the "Not Referred" checkboxes below both the Employer/Sponsor and
Health Insurance Provider boxes.
Please give us your permission
Read the full agreement by scrolling through the form above, and then check the box below.