View and print the EHP Health Visit Form by clicking on the image below.
Schedule a health visit to have the health visit form completed and submitted to EHP to qualify for future Healthy Choice discounts.
Remember: You only need to have your PCP submit a form if you are a new Caregiver or if your Healthy Choice portal indicates to have a Health Visit Form submitted this year.
Click here for information on the Healthy Choice program.
Notice of Privacy Practices for Protected Health Information