US Family Health Plan > Sign-up for US Family Health Plan > Enroll in USFHP	Print This Page

USFHP Enrollment Form

Please download and fill out the following documents to enroll in USFHP.

1. Enrollment Application Form
2. Enrollment Application Instructions
3. Other Health Insurance Information Form
4. Payment Options Form
5. Allotment Authorizations Form
6. Automatic Payment Form
   (Complete to have payment automatically deducted from credit card or checking account.)
7. Provider Directory (Choose a Doctor at a location near you.)

These files are in the Adobe Acrobat PDF format.

>  Not sure how to download the above documents to your computer?