Forms

Need a form?  Commonly used forms can be accessed here.

 

Flexible Spending Account – Direct Deposit Form FSA Direct Deposit Form

Flexible Spending Account – Claim Form FSA Claim Form (060115)

Claim Form – Medical Expenses Medical Claim Reimbursement Form

Referral & Prior Authorization Form – Poudre School District  PSD Referral and Authorization Form (Revised 10/2016)

Chiropractic/Acupuncture Authorization Form – Poudre School District PSD Chiropractic/Acupuncture Authorization Form

Referral & Prior Authorization Form - Referral & Prior Authorization Form

Colorado Health Care Credentials Application - Colorado Healthcare Professional Credentials Application – 2014

Colorado Health Care Credentialing Application – Behavioral Health - MANDATED Colorado Health Care Professional Credentialing Application – Behavioral Health Application

HIPAA Authorization Form - HIPAA Authorization Form