BadgerCare Plus and/or Medicaid SSI Members
Forms
Downloadable Forms
- Authorization for Disclosure of Protected Health Information Form
- Appointment of Authorized Representative for Appeal Form (PDF)
- Postpartum Checkup Incentive Form (PDF)
Forms in Quartz MyChart
Get secure and convenient access to member forms and resources through MyChart.
- Send a Message
- Change Your Address (Also, update your address by contacting ForwardHealth or using the MyACCESS app.)
- Change Your Primary Care Provider (PCP)
- Order Printed Materials
- Other Insurance Questionnaire