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Auxilary Aids & Services

For information about the availability of auxiliary aids and services, please visit:

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Jurisdiction 11 Part B

Palmetto GBA is committed to helping you find the correct form so we can begin processing your request as soon as possible. If you're not sure which form you need, we can help narrow down your options by asking a series of questions. If you already know which form you need, you can select it directly from our forms directory.

Note: Forms may change! Please make sure you bookmark this page and come back each time you need a form. If you do not submit the correct form your request may be delayed or denied.

This is a listing of commonly-used Medicare forms. If the form you need isn't available through Palmetto GBA, please refer to the forms listing on

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last updated on 12/01/2015
ver 1.0.51