| Organization | Form | Description |
| All | Medical / Vision Claim Form | Johns Hopkins Employer Health Programs Medical / Vision Claim Form |
| JHHSC/JHH JH Bayview Medical Center Broadway Services, Inc. | Dental Claim Form | Johns Hopkins Employer Health Programs Dental Claim Form |
| Broadway Services, Inc. JHHSC/JHH JH Bayview Medical Center | UCCI Dental Claim Form | UCCI Dental Claim Form |
| All | Authorization for Release of Health Information- Standing Authorization for Release of Health Information - Standing (Spanish) Authorization for Release of Health Information - Unique Authorization for Release of Health Information - Unique (Spanish) Authorization for Release of Health Information - One Year Representation of Responsibility for Minor Child Representation of Responsibility for Minor Child - (Spanish) | Johns Hopkins Healthcare Authorization for use and disclosure of Protected Health Information(PHI). |
| JHHSC/JHH JH Bayview Medical Center | Bayview Flexible Spending Account Flexible Spending Account | Johns Hopkins Healthcare form to initiate FSA proceedings. |
| JHHSC/JHH JH Bayview Medical Center | Short Term Disability Claim Form | Johns Hopkins Healthcare form to initiate disability claims. |
| Broadway Services, Inc. | Group Disability Claim Form | Johns Hopkins Healthcare form to initiate disability claims. |
| AON Broadway Services, Inc. JHHSC/JHH JH Bayview Medical Center Student Health Program | Prescription Reimbursement Standard Claim Form | Reimbursement form for primary prescription coverage. |
| AON Broadway Services, Inc. JHHSC/JHH JH Bayview Medical Center Student Health Program | Prescription Reimbursement Secondary Claim Form | This form should be used ONLY if you are submitting claims for secondary prescription coverage. |
| AON Broadway Services, Inc. JHHSC/JHH JH Bayview Medical Center Student Health Program | Mail Order Form | Used to order prescriptions authorized by doctor's signature. All medicines in this order will be sent in the same package to the address provided. |
| All | Foreign Claims Form | This form is used to provide direct reimbursement for prescriptions that were purchased outside the United States. |
| All | Coordination of Benefits Online Survey Form | Coordinating benefits with EHP ensures that you receive all of the benefits you are entitled to and helps to control health insurance premium costs. |
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