Medical Support Program

Welcome to the Medical Support Program! Our goal is to support qualifying individuals or families with access to our facilities and professionals to encourage exercise as part of their overall wellness plan. To qualify, you need to be referred by a provider from our approved partner list. If you are referred by a participating partner, please follow the steps below:

1. Complete the Medical Support Program form below.
2. A member of our team will follow up to schedule your first visit and learn about how being active will support your healthy lifestyle.
3. Get your membership set up and meet with your trainer on the scheduled date.

If you have any questions or are interested in being an approved partner, please email Jeffrey.Dertinger@sanfordhealth.org.

Name*
First Last
Email*
Phone*
Referred by*
Referral Organization (clinic, office, etc)*
Referral Focus Area*
- Cancer
- Life Strides (Mental Wellness)
Any activity limitations?
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