Behavioral Health Prior Authorization Forms for Commercial Plans | Sentara Health Plans

Behavioral Health

Behavioral Health Discharge Summary
PDF, 96 KB Last Updated: 10/09/2026
PDF, 96 KB Last Updated: 10/09/2026
Behavioral Health Inpatient Authorization Request
PDF, 173 KB Last Updated: 10/09/2026
PDF, 173 KB Last Updated: 10/09/2026
Behavioral Health Outpatient Authorization Request
PDF, 172 KB Last Updated: 10/09/2026
PDF, 172 KB Last Updated: 10/09/2026