Important Documents

Important Documents

Find the most popular member documents below. If you are looking for specific information regarding your health plan or member benefits, login to your mySanfordHealthPlan account.

• Automatic Payment Authorization Form
• Preventive Health Guidelines
• Medical Claim Form
• Prescription Drug Claim Form
• Vision Claim Form
• Universal Disclosure of Health Information Form
• Transition of Care Request Form
• Transplant Reimbursement Form
• Student Verification Form
• Out of Area Residence Form