Become a PHAX agent

Your own agent website, in minutes

Fill this out once and we’ll instantly generate your personal PHAX page — with your photo, your story, a unique link, and a lead form that automatically tags every client and recruit to you. No one falls through the cracks.

Full name*

Phone*

Email*

You'll use this to log in to your dashboard.

Profile photo*

Any photo works — including iPhone HEIC. We'll size it for you.

Use a FULL portrait photo (not a round headshot). Best results: 1000×1250px or larger, 4:5 portrait, shoulders-up, good lighting.

Your headline

The one line clients see first. Pick one or write your own.

A little about you*

Write it however — then let AI polish it. Your facts and voice stay; nothing is invented.

Years experience

City

Languages

States you're licensed in*

0 states selected

Tap the states on the map — they'll show as a gold map on your page.

Your page goes live instantly. By submitting you agree to represent PHAX professionally and accurately, and to receive team event reminders by text and email (reply STOP to opt out).

Live preview

Your licensed PHAX agent

Hi, I’m you.

Honest health coverage, built around your life.

Get a free coverage review

This is a quick preview. See a full example page.