Documents & forms

Registration & Prescription Order Form

English form

Spanish form

Physician Fax Form

English form

Spanish form

Consent for Release of Protected Health Information

English form

Request for Restriction of Protected Health Information for Services & Treatment

English form

How to Read your Label

English form

2023 Humana Health and Wellness Catalog and Order Form

English form

Spanish form

2023 IL Humana Gold Plus Integrated Health and Wellness Catalog and Order Form

English form

Spanish form

2023 Florida DSNP Over-the-Counter (OTC) Health and Wellness Product Order Form

English form

Spanish form

2023 Humana Healthy Horizons® in Louisiana Health and Wellness Catalog and Order Form

English form

Spanish form

2023 Humana Healthy Horizons® in South Carolina Health and Wellness Catalog and Order Form

English form

Spanish form

Patient Bill of Rights

English form