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Rapport Forms

HRA Claim Form | Required to submit a claim for an HRA managed by Rapport
HRA Claim Form.pdf

HIPAA Authorization & Instructions | Required authorization for Rapport to speak with your providers about health issues
Rapport HIPAA Authorization.pdf
Rapport HIPAA Instructions.pdf

Medicare Scope of Appointment | Required by Medicare in order to set an appointment with Rapport to discuss your Medicare needs.
SOA Generic with dental and vision.pdf

*For the most up to date carrier forms, please check the carrier’s website or contact us!

Connect With Us

Rapport Benefits Group

Mailing Address:
207 South 196th Place
Des Moines, WA 98148

Phone: 206.920.5868

Email:

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