Below are links to our most frequently accessed forms

FREQUENTLY ACCESSED FORMS

Clinician Tax ID – Add/Update Online Form Click Here
Clinician Tax ID – Add/Update Paper Form Click Here
Clinician Tax ID – Add/Update - TennCare Medicaid Network only Click Here
Optum Psych Testing Form
(For KanCare, Medica and Unison Psych Forms, Click Here)
Click Here
Wellness Assessment Form (Adult, English)
Click Here
Individual Provider Disclosure of Ownership Form Click Here
Specialty Attestation Form Click Here

For all forms covering administrative, clinical and claims needs, please click here.