Authorization Forms

Providers: Click the authorization form you need to download it. Instructions on how/where to submit the completed form are included at the bottom of the form itself.

Note: The authorization forms on this page are for GEHA's HDHP, Standard and High Option plan members. If the patient lives in Delaware, Florida, Louisiana, Maryland, North Carolina, Oklahoma, Texas, Virginia, Washington D.C., West Virginia or Wisconsin, do not complete an authorization form. Instead, contact UnitedHealthcare Choice Plus at 877.585.9643.

For our other medical plans, visit Authorizations/Precertifications for Elevate and Elevate Plus members.