Enhanced Primary Care Enrollment Form

​​​​​​​​​​Welcome to the Enhanced Primary Care Program

To request participation in the program please complete and submit the secure form below.​ One of our Health Navigators will contact you to complete the process.​ Download m​ore information about Enhanced Primary Care ​or contact our Health Navigators, ​available to take your calls (toll free) at (833) 604-HILL (4455), Mon. - Fri. 8 a.m. - 10p.m., Sat. - Sun. 8 a.m. - 6 p.m. (closed holidays)​​​.​​​​