Interested in becoming a Participating Provider for OneHealth?
Complete the Letter of Interest Form
Need to add a provider to your OneHealth Network Participation Agreement?
Complete the Group Add Request Form
Completed forms can be faxed or email it to us at: 702-302-4437 or email@example.com.
Need to terminate a provider from your OneHealth Network Participation Agreement?
Complete the Group Provider Termination Form
Need to change or update your practice demographic (address) information with OneHealth?
Complete the Demographic Change Form
Click on the links to the right for additional forms.