Helpful Medicare and Legal Forms

University Hospitals works closely with patients to help them make important financial and legal arrangements concerning their healthcare. The following links allow seniors to file a claim with Medicare, apply for Medicare Part B and appeal a decision, if necessary.

Additionally, we have included important legal forms that everyone – no matter what their age – should review, including a Living Will and Power of Attorney, which can be downloaded and printed.

Medicare Forms

• Appeal a Decision
• Apply for Part B
• File a Claim

Legal Forms

• State of Ohio Advanced Directives: Power of Attorney and Living Will
• State of Ohio Living Will Declaration

Additional Forms

• Advance Directives Toolkit
• Primary Care Provider Change Form