Member Resources
Current Member Handbook
Forms
- Authorization to Use / Disclose PHI Form (PDF)
- Authorization to Use / Disclose PHI Form - Spanish (PDF)
- Revocation of Authorization to Use / Disclose PHI Form (PDF)
- Appeal Form (PDF)
- PCP Change Form - English (PDF)
- PCP Change Form - Spanish (PDF)
- Health Risk Screening Form (PDF)
Transportation
Newsletters and Health Resources
2019
- Fall Member Newsletter 2019 (PDF)
- Winter Member Newsletter 2019 (PDF)
- Spring Member Newsletter 2019 (PDF)
- Summer Member Newsletter 2019 (PDF)
Helpful Links
- www.epa.gov/lead
- https://www.epa.gov/lead/protect-your-family-exposures-lead
- http://health.mo.gov/living/environment/lead/publications.php
- http://www.healthychildren.org
- http://www.babycenter.com/baby
- http://www.marchofdimes.com/
- http://www.thehotline.org/
- www.cdc.gov/diabetes
- www.cdc.gov
- www.choosemyplate.gov
- www.healthfinder.gov
- www.lung.org
- www.yourdiseaserisk.wustl.edu
- www.cancer.org
- www.aarp.org
- www.mentalhealth.va.gov
- http://ww5.komen.org/BreastCancer/UnderstandingBreastCancer.html
- www.heart.org
- http://kidshealth.org/
- http://www.nutrition.gov/
- www.eatright.org
- www.sicklecellkids.org
- www.sicklecelldisease.net
- http://sicklecelldisease.org/
Approval Date: March 18, 2014
Approval Code: HSHP14075