• Contact RHC

Create FCC Form 465

Enter your email address and the HCP's zip code below.

  • If your email is already in the RHC system, it means you are registered and you will be prompted to return to the log in page to access your portal.
  • If you enter a zip code that matches an HCP that is registered in the system, the HCP information will be displayed in the search results. If the Status lists the HCP as "available" and it matches your HCP, click on the link to open and complete the form. If no HCP in the list matches your HCP, select the "New HCP" button.
  • If no search results are returned, select the "New HCP" button to open a blank FCC Form 465.
Email:
ZIP:

Warning: You must complete the FCC Form 465 in a single session. Once the session begins, it will expire after 15 minutes of inactivity (not advancing between screens). You will not be able to save a draft or return later to complete your form. If your session expires before your form has been submitted you will need to start over. A warning will appear after ten minutes of inactivity.