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


Flexible Spending Account – Direct Deposit Form FSA DIRECT DEPOSIT NB

Flexible Spending Account – Claim Form 2018 UCHPA FSA Claim Form

Claim Form – Medical Expenses UCHPA Claim Form 2017.02.01

Referral & Prior Authorization Form Referral and Prior Authorization Form 05-18-18

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

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

Credentialing Application for Facility and Ancillary Providers - CredentialingApplicationforFacility_Ancillary-Providers

Advanced Practitioner Credentialing Checklist - ADVANCED PRACTITIONER CREDENTIALING CHECKLIST

HIPAA Authorization Form - HIPAA Authorization Form