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Forms and Guidelines

New Members

Thank you for choosing Yale Health as your healthcare home. Check out our new members page for more information about your transition to Yale Health. Many of the forms and guidelines for our members are listed below for your convenience.

Yale Health New Member Enrollment Info


You will need your member ID number and the Yale Health RxBin# to submit your claim for reimbursement of outside pharmacy expenses online. 

Health Information Management

Representatives are available to answer questions regarding your release of information for members and authorized third party requesters. They can also assist with the completion of the Designation of Patient Spokesperson form, the Designation of Contact Information form and to answer any questions.