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Member materials
Medallion (Medicaid)/FAMIS Member handbook ― English (PDF) | Spanish (PDF)
CCC Plus Member handbook ― English (PDF) | Spanish (PDF)
Member Vaccine Incentive Letter Form ― English (PDF) | Spanish (PDF)
Diabetes wellness exam flyer ― English (PDF) | Spanish (PDF)
Transitioning from Pediatrics to Primary Care Flyer ― English (PDF) | Spanish (PDF)
Well Woman Exams Flyer ― English (PDF) | Spanish (PDF)
Men's Health Exams Flyer ― English (PDF) | Spanish (PDF)
EPSDT Member Tip Sheet: Birth to 3 years ― English (PDF) | Spanish (PDF)
EPSDT Member Tip Sheet: Ages 3 to 21 years ― English (PDF) | Spanish (PDF)
Forms
Nursing facility transition brochure (PDF)
Maternity Incentive Program form ― English (PDF) | Spanish (PDF)
Important information regarding PPL (Public Partnerships, LLC) (PDF)
Member reimbursement request form for non-traditional Indian medicine (PDF)
Authorization to release protected health information (PHI) ― English (PDF) | Spanish (PDF)
Authorization to release psychotherapy notes ― English (PDF) | Spanish (PDF)
Ted E. Bear M.D. Wellness Club coloring book (PDF)
Print-at-home Ted E. Bear M.D. Wellness Club bookmark for your favorite book (PDF)
Ted E. Bear, M.D., Wellness Club enrollment and incentive form ― English (PDF) | Spanish (PDF)