Provider Network Contact

If you are interesting in becoming a part of Corizon’s provider or vendor network, please contact us using the form below or contact our Provider Relations Team.

Carla Copeland
Provider Relations
800-729-0069 x 1314

If you are a certified diverse business (woman, veteran, minority owned, etc.) please visit our Diversity page and submit your information there.

First name:
Last name:
Address :
City:
State:

Zip:
Phone:
Email:
Comments:

NOTE: This portal is not to be used for requests for medical records, patient specific information or patient care information - such requests will not be accepted. All inquiries of this nature should be directed in writing to the correctional facility. You must read and agree to these terms before submitting the form.