UPDATED 10/21/20

Documents & Forms

Below you'll find links to important documents and forms for WithMe Health members, providers, and partners. Please send completed forms by fax to 1-866-834-4614 or by mail to:

WithMe Health, ATTN: Member Services
204 E 2nd Ave #337 San Mateo, CA 94401

If you have any issues or questions, please don't hesitate to give us a call at 1-866-840-1877.