Health Visit Form

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. 

Note: Express Care is not authorized to do physical exams and complete the Health Visit Form for EHP members.

Remember: You only need to have your PCP submit a form if you are a new Caregiver or if your Healthy Choice portal indicates you need to have a Health Visit Form submitted this year.

Click here for information on the Healthy Choice program.

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