Fairbanks North Star Borough and School District



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• Forms
  • Delta Dental Claim Reimbursement Form (Borough only)
  • WPAS Claim Form
  • Vision Claim Form - Vision Service Plan (VSP)
  • Travel Reimbursement Preauthorization Form
  • Prescription By Mail Order Form
• Disclosures and Privacy
  • Authorization for Disclosure of Protected Health Information
  • Revocation of Protected Health Information Disclosure
  • HIPAA Notice of Privacy Practices – School District
  • HIPAA Notice of Privacy Practices – Borough