Skip to content
Menu
About TSHBP
2020-21 Enrollment Guide
2020-21 Enrollment Guide (English)
2020-21 Enrollment Guide (Spanish)
Resources
TSHBP Blog
COVID-19 Updates
Documents & Forms
Wellness Tidbit Archive
Search
Providers
Medications
Member Portal
Member Login
How to Register
Contact TSHBP
Contact TSHBP
TSHBP Escalation Form
TSHBP Resources
TSHBP Blog
Documents & Forms
Wellness Tidbits Archive
Select Language
English
Spanish
TSHBP Escalation Form
Please enable JavaScript in your browser to complete this form.
District Name
Employee Name
*
First
Last
Patient Name
*
First
Last
TSHBP Plan
*
HD Plan
Co-Pay Plan
Phone
*
Email
*
Which is the best method to contact you during business hours?
Phone
Email
Please provide a description of the issue. Be as detailed as possible but do not include any PHI.
Submit
×
