Forms and instructions

Locate the forms you need

Welcome to the Health Tradition online library of forms and resources. Here, you’ll find a variety of viewable and/or downloadable online forms, links and PDF documents neatly organized for our members, employers and providers.

If you are unable to locate a specific item, please contact us at 877-832-1823

For information about how your medical information may be used or disclosed and how you can get access to it, please read our Notice of Privacy Practices.

Medical, claims and referral information

Any adult over eighteen (18) years of age must give authorization. Parents of children younger than 18 years do not need authorization. Please note that college students must authorize their parents to act for them. See the list of forms below.

Forms to download now

• Authorization to Share Health Information with a Third Party 
• Bank Authorization to Withdraw Funds- 65Plus 
• Change your Communication Preferences 
• Designation of an Insurance Representative- Sharing Health Information 
• End Authorization to Share Health Information 
• Estimation of Out of Pocket Expenses Form
• International Claim  
• HIPAA – Authorization for Providers  
• Member Claim  
• Member Reimbursement Claim
• Request Your Health Information