Enroll Your Organization in Warrior Health to Access Mental Health Services for Your Team

Take the first step toward enhancing your organization's mental health support systems. Please provide us with a few details about your organization, and one of our representatives will reach out to complete your enrollment.

Organization Enrollment Form

This form should be completed by a representative who has legal binding authority to approve purchases, sign documents and make decisions for the organization herein.

Organization Name

Representative First Name

Representative Last Name

Representative Title

Representative Email

Representative Phone

Expected format: 1234567890

Preferred Language:

Address Line 1

Address Line 2

City

Province or Territory

Postal code

Expected format: A1A 1A1

Country

Comments or Questions?

I acknowledge that I am a representative who has legal binding authority to approve purchases, sign documents and make decisions for the organization above.

Prefer to speak with someone directly?

Call us at 1-833-866-9929 for assistance, including answering any questions you have about access, pricing, or issues related to enrolling your organization.