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Authorization for Medical Care
The Authorization for Medical Care will be faxed and/or mailed to provider offices to notify them that a Kaiser Permanent Northwest member has been referred to them for medical care. 

Eligibility Verification Form
The Eligibility Verification Form is a template that can be used when provider offices need to verify the eligibility of numerous Kaiser Permanente Northwest members.

Explanation of Payment (EOP)
The Kaiser Permanente Explanation of Payment is sent to providers to inform them of how a claim was adjudicated.

Laboratory Requisition Form
Please use the attached form when ordering Laboratory Services from Kaiser Permanente.   
For questions regarding Laboratory Services, contact Laboratory Client Services at 503-258-6900.

Specialty Radiology Form♦ and Radiology Form
Please use the attached forms when ordering Radiology Services from Kaiser Permanente.

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