Enroll with Pine Park Health

Enrollment Process

1. Complete the Enrollment Form Below
‍To begin, please complete the form below with your personal information, including your name, date of birth, contact details, medical history, and insurance information.

2. We’ll Verify Eligibility
‍After submitting the form, a member of our enrollment team will verify your insurance eligibility for our services. We will contact you to clarify any missing information, answer questions, and confirm your enrollment has been processed.

3. We’ll Call You to Schedule Your First Appointment
‍Once your enrollment is confirmed, we’ll create your medical chart and a member of our care team will contact you to schedule your Welcome Visit. During this visit, your new primary care provider will meet with you in your home, assess your health needs, and work with you to develop a personalized care plan.

Enroll now

All of your submitted information is secure and confidential. Questions? If you have any additional questions or need assistance with the enrollment process, please don't hesitate to call 510-929-1400. We’re here to help!