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Enroll in USFHP

Please download and fill out all documents (that apply) to enroll in US Family Health Plan. These files are in the Adobe Acrobat PDF pdficon format. If you are not sure how to download these documents to your computer, please  View these Instructions.


  1. Choose your Primary Care location first!
  2. Need help? Directions for Enrollment Application PDF Icon
  3. ENROLLMENT APPLICATION FORM PDF Icon
    PLEASE NOTE - Only the Application form allows you to type directly onto the form before printing. All other forms (below) must be printed first and then hand written.
  4. TRICARE Young Adult Application Form  PDF Icon
  5. Automatic Payment Form PDF Icon
    (Complete to have payment automatically deducted from credit card or checking account.)

Please Mail or Fax the above forms to:

Mail:
Johns Hopkins US Family Health Plan
Enrollment Department
P.O. Box 815
Glen Burnie, MD 21060-0815
______________________________
Fax:
410-424-4770

HealthLINK@Hopkins

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