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Recommend a Provider

Network Enhancement Request Form

Tower Health PPO (THPPO) offers a comprehensive network of physicians and services for your healthcare needs. If your healthcare professional is not in THPPO's Provider Network and you would like to nominate your provider, please contact us at (610) 372-8044 or complete the form below. We will be happy to contact the provider office and invite them to participate in THPPO. If the provider decides to become a participating provider of our network, they must go through a strict credentialing process which usually takes a few weeks. While we cannot guarantee the participation of your referred provider, we can contact you when or if your provider becomes part of the network.

Thank you for your referral.

Provider's Name:

If the provider is a physician
(check one):

Family Practice
Internal Medicine


Provider’s Address:

Provider’s Phone:

Your Name:

Your Email:

Your Home Address (optional):

Your Phone (optional):

Your Employer’s (Company) Name: