Alere

Create Your Member Profile
About You Please enter your information into the boxes below. Your information will be kept confidential.
First Name: *
Last Name: *
E-Mail Address: *
E-Mail Address (again): *
City: *
State: *
Gender: *	Female Male
Birth Date: *
	[month] [day] [year]
Your User ID and Password User IDs may contain letters, numbers, and underscores — but no spaces. Passwords must be at least six characters long, and different from your User ID. Case sensitivity matters in your user id and password!
User ID: *
Password: *
Password (again): *
For Your Security If you forget your password, we will use this information to verify your identity. Please choose a question, and be sure to provide an answer that only you know.
Security Question: *	What are the last 4 digits of your SSN?
	What is the name of your youngest sibling?
	What is your favorite pet's name?
	What is your city of birth?
	What is your favorite color?
Your Answer: *
How did you hear about this site? *	Doctor
	Alere Web site
	Alere Materials
	Friend or family member
	Health Plan
	Other
Program Subscriptions Program Subscriptions Here
* Select the programs you wish to subscribe to: *	Asthma Chronic Obstructive Pulmonary Disease Coronary Artery Disease Diabetes Heart Failure High Cholesterol

Create Your Member Profile