Get Micare E-registration Form - Beale Air Force Base

This guide provides a comprehensive overview of how to complete the MiCare E-Registration Form for Beale Air Force Base. By following these clear steps, you can efficiently register for the MiCare secure messaging system and enhance your healthcare experience.

Follow the steps to complete your registration successfully.

1. Click ‘Get Form’ button to obtain the MiCare E-Registration Form and open it in the editor.
2. Begin by entering your full name in the designated field. Ensure accuracy to avoid any delays in processing.
3. Input your date of birth in the format requested on the form. This information is essential for identification purposes.
4. Provide your DoD ID, which can be found on the back of your CAC ID and the front of your dependent ID.
5. Enter your personal home email address where indicated. This will be used for further communication regarding your registration.
6. Select your gender as prompted on the form.
7. Enter your zip code, ensuring that it is accurate for your service area.
8. If you know your provider or primary care manager (PCM), include their name in the specified field.
9. Indicate the number of child dependents, if applicable, to ensure they are accounted for within the MiCare system.
10. For authentication, verification, and consent purposes, use the digital signature feature provided on the form.
11. Review all the information you've entered for accuracy and completeness before submission.
12. Once you are satisfied with the information provided, submit the form electronically to your Military Treatment Facility’s designated MiCare email address, making sure your email is encrypted.
13. After submission, monitor your email for a message from RelayHealth, which will instruct you to complete the registration process online.

Complete your MiCare E-Registration Form online today to enhance your communication with your healthcare team.