Form CMS-40B4,100+
Form CMS-40B — Application for Enrollment in Medicare Part B
Apply for Medicare Part B (Medical Insurance) coverage for doctor visits, outpatient care, and medical equipment.
Medicare Part Benrollmentseniors
CMS / SSA / HHS
Healthcare Forms
Fill out official US healthcare forms like CMS-40B, HIPAA authorization, Medicaid applications, and CMS-1500 online. Complete your medical paperwork instantly and download a print-ready PDF — no software required.
Medicare enrollment form CMS-40BHIPAA authorization form medical recordsMedicaid application formCMS-1500 health insurance claim formadvance healthcare directive form
12
Forms
Free
to access
2026
Updated
All Healthcare Forms(12)
Form CMS-101142,700+
Form CMS-10114 — Medicare Part D Enrollment Request
Enroll in or change a Medicare prescription drug plan (Part D) outside open enrollment periods.
Medicare Part Dprescriptiondrug plan
Form HIPAA Authorization9,800+
Form HIPAA Authorization — HIPAA Authorization for Release of Medical Information
Authorizes a healthcare provider to release your protected health information to a specified individual or organization.
HIPAAmedical recordsprivacy
Form SSA-441,900+
Form SSA-44 — Medicare Income-Related Monthly Adjustment Amount
Request to lower Medicare Part B and Part D premiums due to a life-changing event that reduced your income.
IRMAAMedicare premiumincome reduction
Form Advance Directive6,300+
Form Advance Directive — Advance Healthcare Directive / Living Will
Documents your healthcare wishes and designates a healthcare proxy to make decisions if you become incapacitated.
living willadvance directivehealthcare proxy
Form Medicaid Application5,100+
Form Medicaid Application — Application for Medicaid Benefits
State-administered application to determine eligibility for Medicaid health coverage for low-income individuals and families.
Medicaidlow incomehealth coverage
Form CMS-150014,600+
Form CMS-1500 — Health Insurance Claim Form
Standard claim form used by healthcare providers to bill Medicare, Medicaid, and private insurance for services rendered.
insurance claimbillinghealthcare provider
Form 1095-A11,200+
Form 1095-A — Health Insurance Marketplace Statement
Issued by the Marketplace to individuals who enrolled in a qualified health plan — needed to file taxes and claim the PTC.
MarketplaceACAtax form
Form SSA-16961,400+
Form SSA-1696 — Appointment of Representative
Authorizes an attorney or other representative to act on your behalf in Social Security and Medicare matters.
representativeattorneySocial Security
Form CMS-1763480+
Form CMS-1763 — Request for Termination of Premium Hospital and/or Supplementary Medical Insurance
Used by Medicare beneficiaries to voluntarily disenroll from Medicare Part A and/or Part B coverage.
Medicare disenrollmentterminationPart A
Form CMS-855I / CMS-855B2,100+
Form CMS-855I / CMS-855B — Medicare Enrollment Application for Providers
Application used by individual practitioners (CMS-855I) or organizations (CMS-855B) to enroll as Medicare providers and establish billing privileges.
Medicare enrollmentproviderbilling privileges
Form Medicare Easy Pay3,200+
Form Medicare Easy Pay — Medicare Easy Pay Authorization Form
Authorizes automatic monthly deduction of Medicare Part B and/or Part D premiums directly from a checking or savings account.
Medicare premiumauto-paybank deduction
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About Healthcare Forms
Navigating U.S. healthcare requires completing official federal and state forms for Medicare enrollment, Medicaid applications, HIPAA authorizations, insurance claims, and advance care planning. This library includes all major CMS, SSA, and HHS forms used by patients, families, and healthcare providers — updated with current edition dates and plain-language guidance.
All 12 forms in this category are sourced directly from CMS / SSA / HHS and updated to reflect current edition dates. Use the search bar above to find any form by number, keyword, or topic. Each form can be filled directly in your browser, signed electronically, and downloaded as a print-ready PDF — no software needed.
Looking for a specific form? The most popular Healthcare forms are marked with a Popular badge and appear at the top of each search. All forms include the official form number, filing agency, page count, and a plain-language description to help you identify the right document quickly.
living will form USAMedicare Part D enrollment requestForm 1095-A health insurance marketplaceForm SSA-44 Medicare IRMAAhealthcare proxy designationmedical records release form HIPAAMedicare supplement enrollmenthealthcare power of attorney formdo not resuscitate DNR formpatient consent form USASocial Security disability applicationMedicaid eligibility applicationMedicare savings program applicationCMS forms for providershealthcare beneficiary forms federal
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