Use the links below to access some of the most popular Senior Health Plan forms. If you can't find the form you're looking for, please contact us for assistance.
- Claim Form
- Oklahoma Advance Directive for Health Care
- Auto Bank Draft Authorization
- Pre-Enrollment Checklist
- Individual Election Form
- Fall Safety Checklist
- Medication Log
- Coverage Determination Request Form - updated 12/12/2019
- Part C Authorization Request Form - updated 9/26/2019
- Primary Care Physician (PCP) Change Form
- Protected Health Information (PHI) Authorization Form
- Part C Appeal Request Form - updated 12/12/2019
- Part D Appeal Request Form - updated 9/26/2019
- Request for Disenrollment
- SSA/RRB Withhold Form
- Plan Change Form
- Preventive Services Checklist - SHP
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Everything You Need to Know About CommunityCare Senior Health Plan
Find helpful information regarding our Senior Health Plan in the Senior Health Plan Forms & Resources section. Don't forget to check out Senior Health Plan seminars and social classes. You can find information on our upcoming seminars by clicking the Seminar Schedule link below. Open the Tulsa Area Social Classes Schedule below to see upcoming events.