Click here to complete the enrollment form to become a patient at Peak Vista! If you have
any problems completing the form, please contact our Outreach Department at 344-6463.
To apply for Medicaid or CHP+, click here to download an application.
(Solicitud en Español) and bring it into the nearest enrollment services location.
Other Patient Resources:
View the documentation needed when enrolling as a patient.
Request an appointment online - registered members only, routine medical visits
Click here for FAQ’s about Peak Vista!
Read the Patient Guidelines
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