Patient forms and resources
Patient rights and responsibilities
This document explains your rights and responsibilities as an Optum patient.
Medicare Shared Savings Program
Learn more about the Optum California ACO and the high-quality care we offer Medicare patients.
Better financial health and improved operations
Improve cost optimization by controlling fixed costs, increasing efficiency and enabling organizational flexibility and agility.
Formulario de nuevo paciente
Descargue y llene el formulario de evaluación de salud e información de seguro aquí.
Patient rights and responsibilities
Please complete these forms before your first visit with your doctor.
New patient form
Download and fill out the health assessment and insurance information form.
Nevada Accountable Care Organization (ACO)
Optum Care ACO West is part of Medicare's Accountable Care Organization (ACO) program. Get important information about the ACO.
"You don't look sick": Coping with the symptoms of MS
Multiple sclerosis (MS) symptoms aren’t easy to see. Optum helps patients with MS manage all their symptoms — seen and unseen.
Protected health information (PHI) form
Fill out this form to get patient permission to share their protected health information (PHI) with an authorized representative.
Specialty Pharmacy Community Residency
NWP medical record transfer forms
Find forms for requesting medical record transfers to and from providers.
Financial assistance
Everyone should be able to access the treatments they need. We're here to help you find ways to access and afford your medication.
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