Forms & Resources
Refer to your membership handbook to understand the best way to take advantage of the services and benefits of Johns Hopkins USFHP.
Outpatient Referral Guide
These guidelines explain to providers the referral and pre-authorization status of outpatient services. You can refer to it for a basic understanding of what to expect when you receive certain outpatient services.
This form lets you choose someone you trust to have access to your health records. You can also decide how much of your personal health information you want that person to know. Don’t worry, if you don’t fill out this form, Johns Hopkins USFHP will continue to keep your health information protected and private.
Like the “standing” version of this form, you can choose someone you trust to have “one-time” access to a specific part of your personal health information. Don’t worry, if you don’t fill out this form, Johns Hopkins USFHP will continue to keep your health information protected and private.
Fill out this form if you would like to have your prescriptions mailed to your home. Home delivery is available for up to a 90-day supply of approved medications through Rite Aid Pharmacy on Remington. Home delivery is best suited for medications you take on a regular basis.
In order to ensure certain prescribed medications will be covered by (i.e. brand-name drugs with generic equivalents; drugs not listed in the formulary; drugs that require prior authorization, step therapy, or medical necessity), your doctor must request and receive approval from our plan.
If you are over 18 years old, filling out this form will give you the right to represent and make health care information-related decisions about a minor child who is 17 years old or younger. The adult representative can only be the minor’s parent, step-parent, legal guardian, or kinship caregiver.