Patient Enrollment
Join PACWEST Healthcare and start receiving quality, compassionate care from our board-certified providers — right where you live.
Getting Started Is Simple
Our streamlined enrollment process is designed to get you the care you need as quickly as possible.
Complete Enrollment Form
Fill out our enrollment form with your basic information, insurance details, and care preferences.
Verification & Assignment
Our team reviews your information, verifies insurance, and assigns a dedicated provider to your care.
Begin Receiving Care
Your assigned provider schedules an initial visit at your location and begins developing your care plan.
Please print and/or download the New Patient Enrollment forms by clicking the link below. Once completed, please fax forms to (833) 450-0284.
*New enrollments will be assessed prior to acceptance.
Eligibility & Coverage
PACWEST Healthcare has established contracts with most insurance companies in the region. We serve as your Primary Care Provider, billing through insurance just as any community physician would.
Insurance Information
We accept most major insurance providers. If you're unsure whether your plan is covered, please contact us and we'll be happy to verify your benefits.
“PACWEST Healthcare has established contracts with most insurance companies in order to deliver high quality care where it is needed most.”