Behavioral Health Forms
|Document Title||Document Type||Document Size||Last Updated|
|Consent for Release of Confidential Information to Primary Care Physician||16kB||07/28/2021|
|Draft Letter for Practitioners’ Communications with Primary Care Physicians||65kB||09/01/2021|
* The Massachusetts Department of Insurance also requires electronic access to the Psychological and Neuropsychological Assessment Supplemental Form, however, it is not provided because Evernorth does not require prior authorization for psychological and neuropsychological assessments.