Direct Primary Care Enrollment
Due to insurance exchange Direct Primary Care enrollment is on hold till April 1, 2014.
Step 1: Print out the below forms.
New Patient Enrollment Form (pdf)
Right and Responsibilities Form (pdf)
Note: Please complete and send both forms to us, as they are both needed to process your enrollment.
Step 2: Mail, or Fax the forms to...
PeaceHealth Medical Group
ATTN: Direct Primary Care
16811 SE McGillivray Blvd
Vancouver, WA 98683
Step 3: You will recieve your ID card within two weeks. Once your account is set up you can make your first appointment and start using the benefits of Direct Primary Care.
If you can't access these forms please call (360) 750-8070 or click here to request the forms be mailed to you.
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