Enrollment Options

You can complete enrollment through a paper form or complete an online enrollment request.

Online Form to Request Enrollment

Click here for online request form

Paper Registration

Complete the paper Registration Form to sign up for My Pella Health. You can also view the information of other patients by filling out the Proxy Access Request.

Registration Form (PDF)

Proxy Access Request (PDF)

MHealth App (My Pella Health App) Instructions (PDF)

Want to discuss your health care options with a primary care provider?

Request an Appointment