You are choosing to complete a secure online appointment
request. Please fill in all fields - leaving a field blank may result in an
incomplete appointment
request. WHP is unable to process an incomplete appointment
request
and we will contact you to complete the appointment
request.
After you submit the appointment
request you will receive a verification call within
72 hours. If you do not receive this call, please contact member services at
812-426-6600, toll free 1-800-521-0265, TTY 1-800-743-3333.