Enrollment tool unavailable

We're sorry, our enrollment tool is not working correctly and we're working on it. In the meantime, please use our PDF forms:


Send the completed enrollment/change form to the Enrollment department: 

Email:

enroll@priorityhealth.com

Fax:

616.942.5242

Mail:

Priority Health
MS 2275
1231 E. Beltline NE
Grand Rapids, MI 49525