Sidecar Health Forms You can find forms here related to coverage through Sidecar Health. Types of Forms Forms Forms Forms PDF Specialty SRXMASTER (without EES) Drug List – June 2025 Download Icon PDF Dependent Disability Form Download Icon PDF Appeal request form for fully insured plans sponsored by Florida employers Download Icon PDF Appeal request form for fully insured plans sponsored by Ohio employers Download Icon PDF Appeal request form for fully insured plans sponsored by Georgia employers Download Icon PDF Appeal request form for Self-Insured employer plans Download Icon PDF Appeal request form for Access plans Download Icon Link Coordination of Benefits (COB) Form Download Icon PDF SiriusPoint America Insurance Company Name Change Endorsement Download Icon Link HIPAA Authorization Form – Digital submission Download Icon Link HIPAA Authorization Form – Digital submission (Español) Download Icon PDF Expense form Download Icon
