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Member materials and forms

Here, you’ll find the info and forms you need to get the most from your health plan.

Member materials

Member handbook ― English (PDF) | Spanish (PDF)

Forms

Authorization form to release protected health information (PHI) (PDF)

Authorization form to release psychotherapy notes (PDF)

Protected health information access request form (PDF)

Request form for an accounting of disclosures of protected health information (PDF)

Request form to remove authorization previously given to Aetna Better Health (PDF)

Fraud, waste and abuse form