If you are NEW to HealthLeadsrUS

Fill out the form below to become a member of our site! When you do, you will choose a Username and Password that will give you instant access to warm leads of people looking for health insurance.

There is no charge for becoming a member. Your credit card will be validated, but you will incur no charges until you choose to buy leads from our lead pool.

Our leads are gathered from prospective clients who have come to us looking for quotes for their family’s health Insurance.


First Name* :
Last Name* :
UserName* :
Password* : (at leas 5 characters)
Re-Type Password* : (must match password)
Address* :
City* :
State* :
Zip Code* :
Phone :
Email :

*Secure Server. Your information is secure and private.