Provider information update form
	W-9 tax form

Treatment plans

	Outpatient mental health treatment plan
	Psychological/neuropsychological testing request for authorization

Fax or mail completed treatment plan forms to:
Attn: Behavioral Health Administrative Assistant
WEA Trust
P.O. Box 7338
Madison, WI. 53707-7338
Fax: (608) 661-6706

HIPAA form and guidelines

	HIPAA authorization for providers form
	HIPAA companion guides