Private membership

Request Membership

Tell us a little about yourself. Every application is personally reviewed.

All fields are required unless marked optional.

Full nameEmail addressDate of birthYou must be 18 years of age or older. We check the date you provide and retain the eligibility result, not your birth date.Phone country codePhone number OptionalWe add +1 automatically to a 10-digit number. You can also paste a number that already includes +1. Providing a phone number does not enroll you in SMS updates.What are you hoping to achieve through Ascend Rx Performance?Share your goals or reason for requesting membership. Please do not include sensitive medical information.How did you hear about Ascend Rx Performance?I understand that submitting this form does not guarantee membership and that access requires administrator approval.