MDwise

The following behavioral health forms can be used for Hoosier Healthwise and HIP:

• Behavioral Health/PMP Communication Form | MS Word Behavioral Health/PMP Communication Form
• Behavioral Health Referral Form | When to Refer to a Behavioral Health Provider Guide
• Neuropsychological Testing Request Form | MS Word Neuropsychological Testing Request Form
• Outpatient Treatment Request Form | MS Word Outpatient Treatment Request Form for Hoosier Healthwise, HIP and Hoosier Care Connect
• Psychological Testing Request Form | MS Word Psychological Testing Request Form

The following behavioral health forms can be used for Hoosier Healthwise and HIP:

• Behavioral Health Provider Information Change Form