Prime Care Health Solutions
Participant Enrollment
Choose the enrollment, referral, event registration, or information request form that matches what you need today.
Enrollment Options
These links open the correct Prime Care form in a new tab so participants, providers, and community partners can complete the right next step.
Need help choosing?
Use the information request form if you are unsure which program is the best fit.
General Enrollment Form
Start here for general participant enrollment and program intake.
Open FormDiabetes Prevention Program Online Application
Apply for lifestyle coaching and prevention support for type 2 diabetes risk reduction.
Open FormDiabetes Management Program Online Application
Enroll in support for diabetes care, education, and ongoing management.
Open FormRefer a Patient
Send a patient referral for Prime Care program review and follow-up.
Open FormRegister to attend Wellness Event / Class / Workshop
Book a Prime Care wellness event, class, or workshop session.
Open FormRequest for Information about Programs & Services
Ask for more information about Prime Care programs, services, and eligibility.
Open Form