New to HPSJ?  Fill out the Health Information Form, it only takes a few minutes

The Health Information (HIF) form is the first step for us to know what health conditions or special health needs you may have. By filling out this form you are letting HPSJ know how best to help you. As a new member we would like to remind you that filling out the health information form is very important.

Complete one form for each person in your family who is enrolling in Health Plan of San Joaquin. This form is voluntary. You will not be denied care based on your confidential answers.

Health Information Form

Posted on November 4th, 2019 and last modified on December 17th, 2019.

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