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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.

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

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Member Resources

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Provider Documents & Forms

Official Georgia Vaccination Plan

Waiver of Liability Statement

Service Specific Prior Authorization not Required List

Prior Authorization Request Form

PCP Referral Form

Medicare Wellness Visits

Sonder Health Plans Provider Manual

Medicare Preventative Services Checklist

Incident Report

Health Risk Assessment Form

Care Transition Protocol

Part D Drug Coverage Determination / Exception / Prior Authorization Form

Part D Drug Appeal / Redetermination Form

Appeal Request Form

Part D Drug Coverage Determination / Exception / Prior Authorization Form

Part D Drug Appeal / Redetermination Form

Completed Forms?

Vaccination Sites In Your County

Contact Sonder

Quick Links

Member Resources

Member Care Services