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Get Arbenefits Member Portal
How it works
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Open form follow the instructions
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Easily sign the form with your finger
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Send filled & signed form or save
How to fill out the Arbenefits Member Portal online
Filling out the Arbenefits Member Portal is an essential step in managing your health information securely. This guide provides clear, step-by-step instructions to help you navigate the online form efficiently.
Follow the steps to complete the authorization to release information form.
- Press the ‘Get Form’ button to access the authorization form for release of information.
- Fill in your member information in the designated fields, including your name, member ID number, date of birth, address, and telephone number.
- Identify the recipient by providing the person’s name or organization that will receive your health information, along with their address and telephone number.
- In the description section, specify the type of information you allow to be released. You can select 'Entire Health Record' or describe other specific information.
- Choose the expiration of your authorization by checking one of the options provided. You can indicate that it will expire upon revocation or specify a particular date or event.
- Understand the implications of releasing your health information, as indicated in the form, before proceeding.
- Sign and date the form at the bottom, providing your printed name or that of your legal representative as needed.
- Once completed, save your changes, and you can download, print, or share the authorization form as required.
Complete your authorization form online today to manage your health information efficiently.
Arkansas State University regular, full time employees, retired employees, their spouses and their unmarried dependent children are eligible for the tuition discount benefit.
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