Forms & Resources

Find the helpful forms and links to assist you in utilizing your dental benefits.

Claim Form

DDOK Claim Form PDF

Web Links

National Dentist Directory
EyeMed Vision Care™

Program Information

EyeMed Plan Summary

Compliance

GLBA Privacy Policy PDF
HIPAA Authorization Form PDF
HIPAA Notice of Privacy Practices PDF
HIPAA Notice of Privacy Practices PDF (Individual Choice – Premier) 
HIPAA Notice of Privacy Practices PDF (Delta Dental Patient Direct)
HIPAA Compliance Calendar