Find My Plan - indipop

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Enroll in Mkt Sequence - Get a QuoteThis hidden field is sent to HubSpot to enroll the contact in the marketing sequence for receiving more information about the selected plan.
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I need healthcare for________________* This field is required.
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5
I want to explore* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that is Health Savings Account Compatible.
The option that has access to integrative and functional medicine doctors.
The option with access to dedicated virtual providers and in-person urgent care visits.
The option that offers Direct Primary Care and copays for in-network visits.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
I'm not sure - what's indipop's most popular option?
Help me customize an option.
6
I want to review:* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that is Health Savings Account Compatible.
The option with access to dedicated virtual providers and in-person urgent care visits.
The option that offers Direct Primary Care and copays for in-network visits.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
Help me customize an option.
I'm not sure - what's indipop's most popular option?
7
I would like to review* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that is Health Savings Account Compatible.
The option that has access to integrative and functional medicine doctors.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
I'm not sure - what's indipop's most popular option?
Help me customize an option.
8
I'd like to explore* This field is required.pick the most important to you
The option that is Health Savings Account Compatible.
The option that has access to integrative and functional medicine doctors.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
I'm not sure - what's indipop's most popular option?
Help me customize an option.
9
I'd prefer to review:* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that is Health Savings Account Compatible.
The option that has access to integrative and functional medicine doctors.
The option with access to dedicated virtual providers and in-person urgent care visits.
The option that offers Direct Primary Care and copays for in-network visits.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
Help me customize an option.
I'm not sure - what's indipop's most popular option?
10
I'd like to review:* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that is Health Savings Account Compatible.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
Help me customize an option.
I'm not sure - what's indipop's most popular option?
11
I would like more information about:* This field is required.pick the most important to you
The option that is Health Savings Account Compatible.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
Help me customize an option.
I'm not sure - what's indipop's most popular option?
12
I want to learn about:* This field is required.pick the most important to you
The most affordable basic options with a low out of pocket for major medical.
The option that has access to integrative and functional medicine doctors.
The option that includes unlimited primary, specialty and urgent care with access to naturopaths, chiropractic care, copays for diagnostic imaging, and more!
Help me customize an option.
I'm not sure - what's indipop's most popular option?
13
Great! We are going to be emailing you the information based on your answers.* This field is required.By providing an email, you agree to receive communication from indipop. This may include information you’ve requested, updates, reminders, educational resources, promotional offers, or feedback requests. You can opt out at any time clicking unsubscribe.
example@example.com
14
What is your first name?* This field is required.
15
What is your last name?* This field is required.
16
Now that you’ve been matched, our team is here for any questions. Do you prefer to chat by phone or text?* This field is required.By providing your phone number, you agree to receive communication from an indipop healthcare specialist via call or text. We may reach out to answer questions, provide updates, or send reminders. Message and data rates may apply. Reply STOP to opt out at any time. Consent is not a condition of purchase.
I would also like a phone call ☎️
I would like to text with a human 🙋‍♀️
17
Phone Number* This field is required..
Please enter a valid phone number.
18
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Jotform Find My Plan filled out
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Infusionsoft Tags
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20
One last question! Who can we thank for sending you to indipop?
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Please Select
Linkedin
TrueMed
FFP
Google
Nurseio
IFP
Other
21
One last question! Who can we thank for sending you to indipop? example: FFP, Linkedin, Nurseio, Friend or colleague.
Should be Empty: