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MHA Nation Online Healthy Weight Loss Registration Form

Ready to start losing weight and enjoying a healthier lifestyle? Please fill out the form below to register for the Journey to Health program. Do you still have questions? Please contact us. We'd be happy to help!

  • It looks like you're within 30 miles of our Mt. Zion location! We do make some special exceptions, but please contact us to see if you qualify for our online program. Otherwise, we encourage you to visit our Physician's Choice Wellness (PCW) website to learn more about our in-house program.

  • It looks like you're within 30 miles of our Forsyth location! We do make some special exceptions, but please contact us to see if you qualify for our online program. Otherwise, we encourage you to visit our Physician's Choice Wellness (PCW) website to learn more about our in-house program.

  • It looks like you're within 30 miles of our Effingham location! We do make some special exceptions, but please contact us to see if you qualify for our online program. Otherwise, we encourage you to visit our Physician's Choice Wellness (PCW) website to learn more about our in-house program.

  • It looks like you're within 30 miles of our Taylorville location! We do make some special exceptions, but please contact us to see if you qualify for our online program. Otherwise, we encourage you to visit our Physician's Choice Wellness (PCW) website to learn more about our in-house program.

  • It looks like you're within 30 miles of our Vandalia location! We do make some special exceptions, but please contact us to see if you qualify for our online program. Otherwise, we encourage you to visit our Physician's Choice Wellness (PCW) website to learn more about our in-house program.


  • Program Costs

    Once completing this form and submitting payment, you will be contacted within 48-hours by a Lifestyle Coach from Journey to Health to set up shipping, email, and basic information.

    We ship product on Wednesdays, Thursdays, and Fridays. There is no shipping on weekends, Mondays, or Tuesdays.

    Your credit/debit card on file will be charged a monthly fee. If we do not receive proper payment, you will not be allowed to order any meal replacements.


  • Program Compliance

  • I have read, understand, and agree to the following statements and it is my wish to participate in the Journey to Health Program.

  • Your credit card will be charged automatically each month for your Journey to Health Program. You may cancel anytime with 30 days' notice.
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  • $0.00
  • This field is for validation purposes and should be left unchanged.

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Journey to Health Online

1020 Westside Drive
Mount Zion, IL 62549

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Start Your Weight Loss Journey for only $29.00 per month*

*Meal Replacements & Snacks are optional and sold separately.

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