Facebook Linkedin Instagram

Provider Documents & Forms

Official Georgia Vaccination Plan

Find all your documents and forms in one place. If you are unsure of who to send any completed forms to, please contact us.

Waiver of Liability Statement

Download Now

Service Specific Prior Authorization not Required List

Download Now

Prior Authorization Request Form

Download Now

PCP Referral Form

Download Now

Medicare Wellness Visits

Download Now

Sonder Health Plans Provider Manual

Download Now

Medicare Preventative Services Checklist

Download Now

Incident Report

Download Now

Health Risk Assessment Form

Download Now

Care Transition Protocol

Download Now

Part D Drug Coverage Determination / Exception / Prior Authorization Form

Download Now

Part D Drug Appeal / Redetermination Form

Download Now

Appeal Request Form

Download Now

Completed Forms?

Please mail all completed and signed forms to:

Vaccination Sites In Your County

ATTN: Provider Services

6190 Powers Ferry Road
Suite 320
Atlanta, GA 30339

© Copyright 2024 – Sonder Health Plans, Inc.

Sonder

Medicare Advantage Plans

2024 Plans
Enroll Today
2025 Plans
Enroll Today
Sonder Plans Service Areas