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Forms</span> </a> </li> </ol> </div> <div class="interior-page"> <div class="top-content-wrapper"> <div class="content-wrapper"> <div class="document-header"> <h1 data-epi-type="title">STAR Forms</h1> </div> <div class="content-area" data-epi-type="content"> <div class="right-content"> <div class="score-accordion section-menu-wrapper"> <div class="score-accordion-panel"> <div class="panel-heading"> <div class="panel-title"> <button type="button" class="accordion-button" data-target="#sectionMenu" aria-expanded="false" aria-controls="accordion1"> In This Section </button> </div> </div><div id="sectionMenu" class="panel-collapse collapse"> <div class="panel-body"> <div class="bg-lightgrey"> <ul class="main"> <li class=""> <a href="/members/" aria-label="For Members" class="GTMMENU" target="_self"> For Members </a> </li> </ul> <ul class="level-1"> <li class=""> <a href="/members/chip/" aria-label="CHIP Members" class="GTMMENU" target="_self"> CHIP Members </a> </li> <li class=""> <a 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</div> </div> </div> </div> <div class="top-content"> <div class="rte-content"> <div class="rich-text"><h2>Value Added Services</h2> <p>Our VAS gift card forms can now be found within our MyCookChildren's Member Portal. You can access these forms by signing up or logging into the portal here.</p> <p><a class="score-button primary" title="My Cook Children's Member Portal" href="https://mycookchildrens.cookchp.org/MyChartHealthPlan/Authentication/Login?lang=english">MyCookChildren's Member Portal</a></p> <p>Once signed up and logged in, the forms can be located under VAS Forms.</p> <h2>Forms</h2> <p>The following forms are available to download in PDF format.</p> <ul> <li><a style="text-decoration: none;" title="Provider Change Request Form" href="/siteassets/documents/chip_forms_provider_change_request_form.pdf" target="_blank" rel="noopener">Provider Change Request Form Authorizations</a></li> <li><a style="text-decoration: none;" title="STAR/STAR Kids Provider Authorized Representative Form" href="/siteassets/documents/chip_forms_star_and_star_kids_authorization_representative_form.pdf" target="_blank" rel="noopener">STAR/STAR Kids Provider Authorized Representative Form</a></li> <li><a style="text-decoration: none;" title="Request to Authorize Account Access" href="/siteassets/documents/request-to-auth-account-access-form_final.pdf" target="_blank" rel="noopener">Request to Authorize Account Access</a></li> </ul> <h2>We're here to help</h2> <p>Please call Member Services if you have any questions about these forms at <a style="text-decoration: none;" title="1-800-964-2247" href="tel:1-800-964-2247">1-800-964-2247</a>. 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