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.)

  • Elixir Compound Drug Prior Authorization
  • Elixir Designation of Personal Representative (English)
  • Elixir Designation of Personal Representative (Spanish)
  • Elixir Drug Reimbursement Claim Form
  • Elixir Mail Service Brochure
  • 2024 Kaiser HIPAA Authorization Form
  • Kaiser/Kaiser Dual Reimbursement Form
  • Kaiser Medicare Enrollment Packet
  • Kaiser Medicare Senior Advantage Disenrollment Form
  • Medical Benefits (Shingles Vaccination, Hearing Aid, CBD Oil, COVID OTC) Reimbursement Form
  • Medicare Advantage Reimbursement Claim Form and Instructions
  • Notice of Return from Armed Forces