Register today for the New England Warrior Health & Fitness (WHF) Program! New England WHF Program Registration Form Are you a... Service Member / Veteran Spouse / Significant Other of a Service Member / Veteran Check one, both or none as applicable.Full Name (First & Last) Gender Male Female Non-binary Prefer not to respond Email Address Phone Number Address Line 1 Address Line 2 City State Zip Permission to email unencrypted messages? Yes No The Partners HealthCare standard is to send email securely. This requires you to initially set up and activate an account with a password. You can then use the password to access secure emails sent to you from Partners HealthCare. If you prefer, we can send you “unencrypted” email that is not secure and could result in the unauthorized use or disclosure of your information. If you want to receive communications by unencrypted email despite these risks, Partners HealthCare will not be held responsible. Your preference to receive unencrypted email will apply to: FOR RESEARCH: Emails sent to you from research staff in this study. If you wish to communicate with other research staff at Partners regarding additional studies, your preference will have to be documented with each research group. FOR CLINICIANS: Emails sent from clinicians and staff at this practice or department.How did you hear about Home Base?