Beacon Online forms

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Beacon Online forms2017-05-18T17:05:22+00:00

At FSBA we also accept a wide variety of insurance providers, including: Aetna, CIGNA, TRICARE, Blue Cross / Blue Shield, Humana, and many others. Please contact us for further assistance.

Click On button to fill the the Form For Authorization to Release Confidential Information

Fill Online Form
Fill Online Form

Click On button to fill the the Form For Authorization for Provider to Release Confidential Information to Beacon Health Options

Fill Online Form
Fill Online Form

Click On button to fill the the Form For Authorization for Behavioral Health and Primary Care Physician to Share Confidential Information

Fill Online Form
Fill Online Form
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