Request a Provider Form

Not finding your doctor? Please provide us with the information below and we will contact the provider's office to see if they would consider joining our network.

 



 

 


Enroll today or call for more information
253-779-8830 or 1-866-789-PSHP (7747)
TTY/TTD 1-866-264-4141

8:00 a.m. - 8:00 p.m. | 7 days a week.