Provider Forms and References | UnitedHealthcare Community Plan of Washington
Forms
- Applied Behavior Analysis ABA Treatment Request Form - Online version
- Behavioral Health Prior Authorization Form
- Board-Certified Behavior Analyst Agency Network Participation Request Form
- Critical Incident Report Form
- Group Disclosure of Ownership and Control of Interest Form
- Individual Disclosure of Ownership and Control of Interest Form
- Obstetrical Risk Assessment Form
- Prior Authorization Forms