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Office Administration/Patient Education Resources Order Form

Most of the information available through this form can also be found on our website at or on the NaviNet® web portal. If you cannot find what you’re looking for on our website or do not have access to NaviNet, please continue completing the form below.

Your request will be processed and delivered within five to seven business days.

* Indicates a required field.

Your Information

Provider/Office Information


Please select the items you wish to request.

Office Administration



Patient Education

Behavioral Health Overview Guides

Health and Wellness Material

Other materials, including forms and patient resources, are available at:

Please note that claim forms, such as the CMS-1500, are not available through the Order Form; they are available for purchase at many local office supply stores.

If you still do not see what you are looking for, or if you need to order larger quantities, please send an email to

To ensure your privacy, all information will be sent via a secure connection. AmeriHealth will not disclose any personal information to outside persons or entities unless we have written consent or unless authorized by law.

Please see our Notice of Privacy Practices for more information.