CommunityCare Members Forms
Below is a list of forms publicly available to members. Additional forms may be available to you after you sign into Member Connection [opens in a new window].
- Coordination of Benefits (COB) Form [opens in a new window]
- Protected Health Information (PHI) Authorization Form
- Member Request to Access Protected Health Information [opens in a new window]
- Medication Log [opens in a new window]
- Oklahoma Advance Directive for Health Care [opens in a new window]
- Annual Care Checklist [opens in a new window]
- Request for Dependent Coverage Due to Incapacitation [opens in a new window]
- Claim Form [opens in a new window]
- Continuity of Care Program [opens in a new window]
- Transition of Care Form [opens in a new window]
- Blood Pressure Log [opens in a new window]
