ACN - Amazing Care Network

For employer groups enrolling for an Amazing Care Network management account for the first time. Complete the enrollment form below to set up Amazing Care Network account for your group first. Once the Employer Group is established, you can begin to manage Amazing Care Network for your employees.

General Information

*Employer Identification Number/Federal Tax Id Number :

*Company Name :

*Address :

*City :

*State :

*Zip Code :

Contact

*First Name :

*Last Name :

*Gender :

*Phone Number :

*Email :

Login Information

*User Name :

*Email Address :

*Confirm Email Address :

*Password :

*Confirm Password :

*Reminder Question :

*Reminder Answer :

Important Information About Electronic Records and Your Account

By creating your account online, you agree to accept Account Enrollment Documents in electronic format. The Account Enrollment Documents consist of Electronic Access Agreement. Important information in this document will be provided to you online. If you wish to save the information provided, you will need to save it electronically to your computer or print it out yourself.

I have read the documents associated with establishing my Amazing Care Network account with Amazing Care Network and transacting business online. I accept the terms of the agreements.

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Enrolling a New Employer Group

General Information

Contact

Login Information

Important Information About Electronic Records and Your Account