Registration

To register for this program, please fill in the registration form.

Or you can click here for a PDF form to fax or mail.

Fax the form to:

Texas Children’s Health Plan
Attention: Victoria Green
Fax: 346-232-4780

Questions? Give us a call!

Contact: Victoria Green
Phone: 832-828-1177
Email: victoria.green@tchp.us

Please note:

Free Registration for Texas Children’s Health Plan contracted physicians practicing in the area of pediatrics, behavioral health, family medicine, internal medicine, and general medicine.

Register early — seating is limited.