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Forms 2019-07-03T23:22:57+00:00

CONSENT FORM

Here is a sample of a consent to Proceed form for your patients to fill out.

Consent to Proceed Form

RENEWAL FORM

Professional Insurance Exchange (P.I.E) is pleased to have the opportunity to provide you with a Renewal Form.

Online Form
or
Printable Form

RELEASE FORMS

If you have a situation with a patient where you may need one of our Release forms, please call us at 801-262-0200 or e-mail us at info@pieutah.org.

Release Forms