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Fax Forms Library Published: October, 2001 The following forms can be obtained via fax by calling the Fax Forms Library at (800) 463-1931. These forms, and more, are also available online. Patient Care Forms Provider Assessment Report * Health Care Coordination * Request for Psychological Testing Authorizations * ECT Request (UM 1.8-1) * ECT Request (UM 1.8-1)-Second Opinion * LSQ/YLSQ available by fax form by calling 800-463-1931 *   Back to Top