I'd Like to Sign-Up

Please tell us a bit about yourself so we can begin to build your personal program. If you’re concerned about how your information will be used you might like to review our Privacy Policy. You may also want to read a section titled: Who We Are.

Once you sign-up, we will send you an email confirmation. Your Password will be sent to you in an email from the address autoinfo@alcoholhelpcenter.net (so you may want to check bulk email folders if you don't see the email right away.)

The User Name I'd like to use for this program is:
(Please note that others in the Support Group will see your User Name. To protect your privacy, please choose a User Name that is different from your real name.)

The email address I’d like to use for this program is:
If you’re concerned about your privacy, we suggest signing up for an anonymous Yahoo or Hotmail email address.

I am:

male

female

My country:

I am in this age range:

How much would you say that the average drink costs you? (example: 6.50)

On average, you are drinking approximately this many drinks per day on days that you drink:

Your goal is to:

Cut down to this many drinks per week:
Stop drinking altogether
I'm not sure what my goal is at this point

AHC Optional Features

There is no cost to use AHC Optional Features. After registration you can always turn AHC Optional Features "ON" or "OFF" by visiting the Personal Profile link in your Toolbox. Please check with your mobile phone provider.

Educational Email Program: The AHC offers an 11 week educational email program, where each email contains interesting facts about drinking and your health. Our email program does not contain any marketing or spam.

I would like to receive AHC Educational Emails:

Please check this box to acknowledge that your non-personal information will be used for purposes of improving this program. Your use of this program is subject to your data being used for research purposes. We do not collect or analyze individual statistics.

Check this box if you are a health care professional or a researcher so we can remove your data from statistical analysis. Please note that use of this program is for your personal, non-professional use.

After you click “Next” we will confirm your registration and then bring you to your Toolbox.

Please Note: By clicking "Next" you acknowledge that this program is for educational purposes only and is not to be used as a substitute for a consultation or visit with your family physician or other healthcare provider.