Enrollment
How do I enroll?
- Check to see if you are eligible
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Complete enrollment forms
- Enrollment & consent form (PDF 1.5mb)
- Lifestyle questionnaire (PDF 209kb)
- Authorization for treatment (PDF 99kb)
- Notice of privacy practices (PDF 1.4mb)
- Notice of privacy practices acknowledgement (PDF 73kb)
- Patient registration worksheet (PDF 26kb)
- Can't download these forms? Call us toll-free at 1-800-833-8782
- Sign and return the enrollment forms
- Contact a patient educator in your area to make an appointment
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Bring your wallet card to your health screening appointment. Health screenings include:
- In-office breast exam
- Screening mammogram
- Pelvic exam
- Pap test
- Blood pressure
- Total cholesterol*
- Body Mass Index (BMI)*
- Blood sugar test*
- *only for members 30+
- Receive results of your health screenings. If you need follow-up or treatment, WISEWOMAN and BCHP will help
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Take advantage of fun options:
- Lifestyle counseling
- Physical activity and nutrition assessment
- Stress relief
- Quitting tobacco
- Goal setting
- Group activities
- One year later, get screened again
PDF files require Acrobat Reader
Services
- Services Available by Location
- Dental
- Behavioral Health
- Health Promotion
- Specialty Clinic Schedule
- Air Medical Services
- Travel Office & Community Resource Program
- Frontier Extended Stay Clinic
- Short-Term Housing Facility
Health Promotion
- Colorectal Cancer Screening Program
- Diabetes Prevention Program
- Lifestyle Balance Program
- Injury Prevention Program
- WISEWOMAN Women's Health Program
- Tobacco Prevention, Cessation Program
- Women, Infants and Children Nutrition Program (WIC)
- Community Transformation Grants
- Traditional Foods
WISEWOMAN Women's Health Program
