Forms Directory

See below for a general list of forms that can be downloaded or printed. Please use the search bar or filter buttons to find a specific form. (Some forms may only be found behind your secure participant login.)

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  • Adopted or Step Child Verification Form
  • Authorization to Disclose Specific Protected Health Information (PHI)
  • Authorization to Release Medical Information
  • Birdi Mail Service Flyer
  • CA State Disability Insurance Form (EDD)
  • Death Beneficiary Designation Change Form
  • Domestic Partner Declaration of Dependency for Tax Purposes
  • Elixir Designation of Personal Representative (English)
  • Elixir Designation of Personal Representative (Spanish)
  • 2024 Kaiser HIPAA Authorization Form
  • Kaiser/Kaiser Dual Reimbursement Form
  • Medicare Advantage Reimbursement Claim Form and Instructions