Request an Application

Thank you for your interest in joining our network of high-quality integrative healthcare providers. We offer prospective providers the option to request an application through this easy, online form and, in some states, the option to complete your application online. Please complete the application request form below. Our staff will contact you within two business days.

If you have questions about CHP or the application process, please call our Provider Recruiting Department at 503-203-8333 or 800-449-9479 x501 or e-mail us any time at