This form is intended for, but not limited to, hospitals, clinics, medical centers, dental & vision providers, pharmacies, laboratories, individual physicians or healthcare specialists outside of the U.S. Please note, this form is not intended for U.S.-based providers.

If you’re a provider in the United States interested in joining the MetLife network, please click here. If you’re an international provider looking to join our network, please proceed with filling out the Hospital / Clinic Profile form.