Request to Open a Health Savings Account (HSA)

Use a Patelco HSA to save on doctor visits, prescriptions, and more.

Please fill out the form below.

Within 2 business days, we’ll email you a link to complete an application. Once completed, we will process your new HSA and a team member will personally reach out to you with all the details.

For your protection, please do not include any confidential information such as account numbers, passwords, login information, or your Social Security number. If you need help, or if you prefer to complete with a team member, meet with us at Virtual Branch.

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