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Provider interest form

Doctor looking at papers


Thank you for your interest in becoming a VHP Provider! 

Although VHP is open to working with all interested providers, VHP is currently prioritizing contracting with qualified providers with particular specialties in high need for VHP members and providers willing to accept all of VHP's lines of business, including Medi-Cal. VHP will reach out directly to providers it determines meets these criteria.  

If you are not contacted by directly by VHP, it may mean that you currently do not meet its priority criteria.  However, we will keep your record on file and may reach out to you in the future as our network needs change. 

Which network are you interested in participating? (please check all that apply)
Enrolled in Medi-Cal Pave?
Entity Type (please check all that apply)
Rendering Provider information will be requested during contracting, do not submit this form for each rendering provider add. 
Service Type (please check all that apply)
Institutional Services Primary Specialty
Professional Services Primary Specialty