Minnesota Authorization Forms
MN Care Advocate’s Fax: 1-855-454-8155
MN Autism and EIDBI Forms and Information
Psychological Testing Request Forms
- Optum Online Psych Testing Request Form - Non-Medica
Other Authorization Request Forms
- Appointment of Representative Form
- Transcranial Magnetic Stimulation (TMS) & Electroconvulsive Therapy (ECT) Initial Request Forms
Transcranial Magnetic Stimulation (TMS)
- TMS Prior Authorization Request Process Training