Insurance Forms

Note, the Health Fee Waiver application is not available here. The waiver application is only available on-line through the Health Fee Waiver Tool in the TritonLink Toolbox. Read more ​about the waiver.​

• 1095-B Tax Form Update 1/31/22 (PDF)
• Exception to Closed Enrollment form (PDF)
• Electronic Medical Claims - sign up today! (PDF)
• How to access your 1095-B tax form (PDF)
• Insurance Confidentiality (PDF)
• No Show Billing Dispute form (PDF)
• Retro Referral Appeals (PDF)
• Waiver Cancellation Form​ (PDF)