Flex Plan Enrollment Please enable JavaScript in your browser to complete this form.In which market would you like to enroll? *BrentwoodMurfreesboroName *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFlex Plan Monthly Recurring Membership *Price: $ 55.00I agree to annual enrollment with IMAC Regeneration Center for supportive wellness care described above. I acknowledge and understand that my agreement to the fees listed is based on annual assessment of pricing. My annual fee is non-refundable and is not dependent on cancellation of any or all services. Annual Membership Fee will be due at time of initial examination.Total$ 0.00Credit Card Details *CardName on CardEmailSign Me Up! Committed to People, Committed to your Future. BOOK APPOINTMENT
