Community Practice Services

Forms

Forms Commonly Used by Your Practice

Use these forms to add a new provider, nurse or system user:

• NextGen User Security Access Request
• Add / Change EMR Provider

Use these forms to request changes and / or additions:

• Control File Change
• Claim Edit Request
• Add Insurance Information Form (formerly County Miscellaneous Code Form) 
• National Drug Code (NDC) Conversion Table
• National Drug Code (NDC) Control File Change Form
• Tab Sub Navigation Configuration Form
• Common Assessment Practice Configuration Form

Use these forms for reports:

• Report Request Instructions
• Report Request Form