Health Care Forms

Download and print a health care form.

• Authorization for the Release of Protected Health Information
• Employer Group Enrollment Form
• Employee Enrollment and Change Form
• Coordination of Benefits Form
• Applied Behavioral Analysis (ABA) Authorization Form
• Nevada Claim Form
• Pharmacy Reimbursement Claim Form
• New Prescription Fax Order Form
• Medical Necessity Request Form

If you don't find the form you’re looking for, contact your Group Services representative.