Find commonly used forms
Here are some commonly used forms you can download to make it quicker to take action on claims, reimbursements and more. If you can’t find the form you’re looking for below, log in on myuhc.comOpens a new window® to find more.
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Flexible Spending Account, Health Reimbursement Account and Health Savings Account Forms
Dental Grievance and Appeals
Massachusetts External Grievance Review Form
Dental Grievance Form
California Dental Change of Status Form
UnitedHealthcare SignatureValue® Managed Care Forms
California Continuity of Care Forms for SignatureValue Managed Care Members
California Grievance Forms for SignatureValue Managed Care Members
Oklahoma, Oregon, Texas and Washington Continuity of Care Form for SignatureValue Managed Care Members
California Plan Continuity of Care Forms
19-11159 8676358 Rev 2/19