Overview

Fill-in PDF forms use the features provided with Adobe Acrobat products. Currently, there is no validation or verification of the information you enter and you are still responsible for entering all the required information. You must still print and sign your form. Once completed, you can mail or fax the form to the Patient Services Contact Center.

Software Requirements

To view, complete and print a fill-in PDF form you'll need Adobe Reader software installed on your computer.

Opening the Form

Your web browser may be configured with an Adobe Reader plug-in to automatically open the file within your browser's window upon download. To download the file, right click on the document link, then select "Save Target/Link As..." from the menu. Use Adobe Reader to open the file.

Completing the Form

When positioning the cursor on a fill-in area or element, the cursor will change appearance. The I-beam pointer allows you to type text. The hand pointer allows you to select a check box or radio button.

Enter the appropriate data in each box or field. To move from one field to the next, press the Tab key. You can also use your cursor to move from field to field. Place your cursor in the field you want to fill in, then left-click.

Some fields limit the maximum number of characters you can enter and may automatically advance to the next field.

For additional help with fill-in forms, see the Adobe Reader's online help information.