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 (English and Spanish versions)
- Preventive Health Guidelines
- Medical Claim Form
- Member Rights and Responsibilities
- Prescription Drug Claim Form
- Vision Claim Form
- Authorization for Disclosure of Protected Health Information (English and Spanish versions)
- Transition of Care Request Form
- Transplant Reimbursement Form
- Student Verification Form
- Out of Area Residence Form