Thank you for your interest in CHCS Service Provider Network. As a participant in the
CHCS Service provider network,Your organization will have the opportunity to receive the
following benefits:

► Referrals from some of the largest insurance carriers in the LTC and other insurance industries
► Referrals from the participants of our eldercare assistance program
► Pre-qualified, actively looking leads
► Support from our provider network and care managers
► And best of all, there is no charge to join and no referral fees

To become a Fully participating Provider in the CHCS Services Provider Network, please complete the online application, attach all required documents and submit completed application.
Please register to begin your application.

New User? Register

If you prefer to download the forms and email/fax them to us, please use the links below.

Our email address is:
Our fax number is: 877-283-1227