Provider Documents & Forms

Provider Documents and Forms

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

Waiver of Liability Statement

Download Now

Service Specific Prior Authorization not Required List

Service Specific Prior Authorization not Required List

Download Now

Prior Authorization Request Form

Prior Authorization Request Form

Download Now

PCP Referral Form

PCP Referral Form

Download Now

Medicare Wellness Visits

Medicare Wellness Visits

Download Now

Sonder Health Plans Provider Manual

Sonder Health Plans Provider Manual

Download Now

Medicare Preventative Services Checklist

Medicare Preventative Services Checklist

Download Now

Incident Report

Incident Report

Download Now

Health Risk Assessment Form

Health Risk Assessment Form

Download Now

Care Transition Protocol

Care Transition Protocol

Download Now

Part D Drug Coverage Determination / Exception / Prior Authorization Form

Part D Drug Coverage Determination / Exception / Prior Authorization Form

Download Now

Part D Drug Appeal / Redetermination Form

Part D Drug Appeal / Redetermination Form

Download Now

Completed Forms?

Please mail all completed and signed forms to:

Sonder Health Plans

ATTN: Provider Services

6190 Powers Ferry Road
Suite 320
Atlanta, GA 30339

Sonder Health Plans, Inc. is an HMO with a Medicare contract. Enrollment in Sonder Health Plans depends on contract renewal.
Discrimination is against the law: Sonder Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or religion.