Official Healthcare Forms
Official-source healthcare, Medicare, benefits, authorization, claim, provider, and patient forms from government agencies.
Use current official-source forms
These pages prioritize forms with government or issuing-authority sources, source links, PDF workflows, and clear filing context. Always confirm final filing rules, fees, and submission channels with the official source.
Before filing
- Confirm the health program, beneficiary, provider, authorization, or claim context.
- Check privacy, identity, medical evidence, and signature requirements before submission.
- Use the issuing agency source page for current filing instructions and supporting documents.
342 Healthcare Forms
Page 1 of 15
1095-A(2025)
Health Insurance Marketplace Statement
IRS form provided by the Health Insurance Marketplace to report coverage information.
1095-C(2025)
Employer-Provided Health Insurance Offer and Coverage
IRS form used by large employers to report health insurance coverage offered to employees.
CMS Authorization to Disclose Personal Health Information(2026)
Medicare Authorization to Disclose Personal Health Information
Official CMS/Medicare authorization form to disclose personal health information.
CMS Form 1500 - Claim Form(2025)
CMS Form 1500 - Claim Form
CMS 1500 Claim Form for healthcare provider billing
CMS-10106(2026)
1-800-Medicare Authorization to Disclose Personal Health Information
Medicare authorization form allowing CMS to disclose a beneficiary personal health information to a selected person or organization.
CMS-1490S(2021)
Patient's Request for Medical Payment
Medicare beneficiary claim form used to request payment when a provider or supplier did not file a Medicare claim.
CMS-1763(2022)
Request for Termination of Premium Part A, Part B, or Part B Immunosuppressive Drug Coverage
Medicare form used to request voluntary termination of premium Part A, Part B, or Part B immunosuppressive drug coverage.
CMS-18-F-5(2025)
Application for Medicare Part A (Hospital Insurance)
Medicare application for people age 65 or older, or turning 65 within 3 months, who want to apply for Part A hospital coverage.
CMS-40B(2025)
Application for Enrollment in Medicare Part B (Medical Insurance)
Centers for Medicare & Medicaid Services form used by eligible people with Medicare Part A to request enrollment in Medicare Part B.
CMS-43(2024)
Application for Part A and Part B for People with End-Stage Renal Disease
Medicare enrollment application for people with End-Stage Renal Disease applying for Part A and Part B coverage.
CMS-L564(2025)
Request for Employment Information
Centers for Medicare & Medicaid Services form used to document group health plan employment information for certain Medicare special enrollment requests.
FDA Form 1571 - IND Application(2025)
FDA Form 1571 - IND Application
Investigational New Drug (IND) Application for human drug testing
FDA Form 1572(2025)
Statement of Investigator
Food and Drug Administration clinical trial form used as the statement of investigator for investigational new drug studies.
FDA Form 1572 - IND Safety Report(2025)
FDA Form 1572 - IND Safety Report
IND Safety Report - changes, updates and expiration of INDs
FDA Form 2541 - Device Master Record(2025)
FDA Form 2541 - Device Master Record
Device Master Record used in medical device reporting
FDA Form 3500(2026)
MedWatch Voluntary Reporting Form
Food and Drug Administration MedWatch voluntary reporting form for adverse events, product problems, and product use errors.
FDA Form 3926 - Investigator's CV(2025)
FDA Form 3926 - Investigator's CV
Form for submitting investigator curriculum vitae in clinical trials
Form 1094-B(2026)
Transmittal of Health Coverage Information Returns
IRS transmittal form used to submit Forms 1095-B reporting health coverage information.
Form 1094-C(2026)
Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
IRS transmittal form applicable large employers use to submit Forms 1095-C for ACA employer reporting.
Form CMS 10003-NDMCP(2013)
NOTICE OF DENIAL OF MEDICAL COVERAGE/PAYMENT ("INTEGRATED DENIAL NOTICE")
Official Centers for Medicare & Medicaid Services CMS 10003-NDMCP for NOTICE OF DENIAL OF MEDICAL COVERAGE/PAYMENT ("INTEGRATED DENIAL NOTICE"), sourced from the CMS forms list and official PDF download catalog for Medicare, Medicaid, provider, plan, coverage, and beneficiary workflows.
Form CMS 10036(2006)
Inpatient Rehabilitation Facility-Patient Assessment Instrument
Official Centers for Medicare & Medicaid Services CMS 10036 for Inpatient Rehabilitation Facility-Patient Assessment Instrument, sourced from the CMS forms list and official PDF download catalog for Medicare, Medicaid, provider, plan, coverage, and beneficiary workflows.
Form CMS 10069(2013)
Medicare Waiver Demonstration Application
Official Centers for Medicare & Medicaid Services CMS 10069 for Medicare Waiver Demonstration Application, sourced from the CMS forms list and official PDF download catalog for Medicare, Medicaid, provider, plan, coverage, and beneficiary workflows.
Form CMS 10114(2025)
NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM
Official Centers for Medicare & Medicaid Services CMS 10114 for NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM, sourced from the CMS forms list and official PDF download catalog for Medicare, Medicaid, provider, plan, coverage, and beneficiary workflows.
Form CMS 10125(2017)
DME Information Form - External Infusion Pumps DME 09.03
Official Centers for Medicare & Medicaid Services CMS 10125 for DME Information Form - External Infusion Pumps DME 09.03, sourced from the CMS forms list and official PDF download catalog for Medicare, Medicaid, provider, plan, coverage, and beneficiary workflows.