Wellness Registration

Create your participant account and enroll in Clova Wellness.

First Name *Last Name *Age *

Gender * Male Female

Email *Phone Number *Body Weight (lb) *Body Height (feet) *Body Height (inches) *

Calculated BMI—For your information; enrollment has no BMI threshold.

Insurance Plan NameInsurance Member ID

Interested in using CGM? * Yes No

Interested in research studies? * Yes No

AddressCityState *Zip Code * Wellness Goals *

Membership for Wellness Coaching * Individual Smart Plan 3-month $29 monthly – $87.00 Individual Metabolic Plan 3-month plan $99 monthly – $297.00 Individual Metabolic Pro Plan 3-month $149 monthly – $447.00 Trial for 7 days Free

I understand that these plans are not support of Insulin therapy. * Yes

Payment by Credit Card *

Pay securely with Stripe after submitting this form. Your selected three-month plan is charged once in full. Registration and your activation code are confirmed after payment.

Online payment is not yet available. Please contact the Wellness team.

Your seven-day trial is free. No credit card is required and you will not be charged automatically.

Smart Ring Activation Code Assigned

Please copy and paste this 6 digits code into Smart Ring page, you will need this code for activation.

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ClovaBot provides general wellness information only. It is not medical advice, diagnosis, or treatment. Always consult a qualified health professional for personal medical concerns.

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