For your convenience, below is a listing of required authorzation forms in Adobe Acrobat PDF format. You may download them via the links provided, populate the forms on your computer, then convey them to CD Services either digitally or by print.
- BCBS.pdf (1.2 Mb)
- BCN.pdf (552.77 Kb)
- CDSeducation.pdf (112.02 Kb)
- CDSemployment.pdf (112.42 Kb)
- CDSfinancial.pdf (112.01 Kb)
- CDSgeneral.pdf (110.68 Kb)
- CDSinsurance.pdf (170.53 Kb)
- CDSmedical.pdf (171.18 Kb)
- DMC.pdf (131.17 Kb)
- HAP-MW.pdf (275.33 Kb)
- HAP.pdf (1.79 Mb)
- HFHS.pdf (180.08 Kb)
- IRS4506.pdf (64.51 Kb)
- IRS4506T.pdf (984.88 Kb)
- IRS8822.pdf (194.32 Kb)
- JohnsHopkins.pdf (105.44 Kb)
- MI-4095.pdf (397.7 Kb)
- MIdeptCommHealth.pdf (97.73 Kb)
- MedicareMedicaid.pdf (770.82 Kb)
- Oakwood.pdf (244.85 Kb)
- SSwage.pdf (237.72 Kb)
- UMhospitals.pdf (1.52 Mb)
- VA.pdf (373.91 Kb)
- AFLAC Authorization.pdf (320.56 Kb)
- BCBS- BCN.pdf (188.65 Kb)
- BCBS-BCN.pdf (188.65 Kb)
- BCBS-IL-standard_authorization_form.pdf (33.92 Kb)
- BEAUMONT AUTH.pdf (224.06 Kb)
- CDS Insurance Authorization.pdf (98.25 Kb)
- CDS Medical Authorization.pdf (99.31 Kb)
- Community Care Services.pdf (149.98 Kb)
- DMC.pdf (149.87 Kb)
- Dept of Veterans affairs.pdf (273.01 Kb)
- EXPRESS SCRIPTS.pdf (229.4 Kb)
- Envision Medical Group Authorization.pdf (2.1 Mb)
- Grand View Hospital Authorization.pdf (103.98 Kb)
- Great Lakes Bay Health Centers - Authorization 2016.pdf (142.9 Kb)
- HAP (HEALTH ALLIANCE PLAN).pdf (72.32 Kb)
- HAP Midwest Authorization.pdf (288.27 Kb)
- HFHS 2020 AUTH.pdf (95.19 Kb)
- HIGHMARK BCBS.pdf (204.56 Kb)
- HUMANA AUTH (PHI)(2).pdf (406.6 Kb)
- HUMANA AUTH.pdf (182.06 Kb)
- Illinois FIA Dept of Human Services 2019.pdf (597.98 Kb)
- Johns Hopkins.pdf (170.29 Kb)
- Lifespan Clinical Services.pdf (178.5 Kb)
- Livonia Family Practice Authorization.pdf (2.1 Mb)
- MCLAREN HEALTH PLAN .pdf (234.03 Kb)
- MI Dept Health Human Services.pdf (191.65 Kb)
- Mayo Clinic.pdf (91.57 Kb)
- McLaren Health Plan.pdf (234.03 Kb)
- Medicare & Medicaid Authorization.pdf (770.82 Kb)
- Michigan Medical Marijuana.pdf (607.86 Kb)
- Michigan Teamsters - Individual Authorization to Release PHI - 0717.pdf (140.21 Kb)
- MidMichigan Health.pdf (170.63 Kb)
- NY HIPAA_fillable Authorization.pdf (45.73 Kb)
- Oakland Psychological Clinic.pdf (129.51 Kb)
- Priority Health Authorization.pdf (454.44 Kb)
- Quest Diagnostics Authorization.pdf (29.94 Kb)
- Request MI Death Certificate.pdf (393.93 Kb)
- SCAO Medical Record Release Authorization 2020 mc315.pdf (74.69 Kb)
- SEIU MICHIGAN HEALTH & WELFARE FUND.pdf (148.48 Kb)
- Sparrow Authorization.pdf (101.09 Kb)
- Spectrum Health Auth X01743.pdf (272.62 Kb)
- St Jude Auth Medical-Records-Request-4556.pdf (49.1 Kb)
- St. Joseph Mercy (15 years).pdf (129.04 Kb)
- Tri-Care Authorization.pdf (112.46 Kb)
- URGENT CARE ONE SPECIFIC AUTH.pdf (170.58 Kb)
- University of Michigan Authorization.pdf (1.52 Mb)
- Windsor Regional Hospital Authorization.pdf (51.34 Kb)