US Family Health Plan

Change & Reimbursement Forms

Allotment Form (PDF)
Primary Care Physician Change Form (PDF)
Reimbursement Request (PDF)

Enrollment Applications

Enrollment Form & Instructions (PDF)
TRICARE Young Adult Enrollment Application (PDF)

Health Risk Assessment

We are glad to have you as a member of our health plan and value your participation with us. In partnership with your primary care physician, we want to help you stay as healthy as possible. One way we do this is by asking you some questions about your health and lifestyle. We hope you will help us determine how we can best serve you by answering the questions in the form by clicking the links provided below.