Provider Forms

Behavioral Health Forms
Coordination of Care Form & Letter Templates

The Coordination of Care Form can be used by both medical and behavioral health practitioners to communicate information for improved coordination of care with other treating practitioners. The form is interactive and allows you to input information online, download and print for your use. Interactive cover letters are also available for medical and behavioral health practitioners.

For use by both medical and behavioral
health practitioners:

For use by medical practitioners to communicate with
behavioral health and other medical practitioners:

For use by behavioral health practitioners to communicate
with medical practitioners:

Other Forms
Provider Maintenance Form
Provider Maintenance Form