Request a New Provider Contract

Use this form to request a new contract. A Provider Contracts Specialist will contact you by email or phone once the Provider Contract Request Form has been submitted and reviewed.

A participation agreement and provider payment methodology will be sent to the contact person listed on the form.

For any additional provider contracting questions, please contact Sanford Health Plan Provider Contracting:
Toll-free: (855) 263-3544
Email: sanfordhealthplanprovidercontracting@sanfordhealth.org