Community Staff Resources

If you are one of our community partners, here you will find links to access forms, assistance with registering for the Bluestone Bridge and more information about Bluestone Community Education.

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Forms

• Community Staff Bridge Registration Form
• Guidelines for Bluestone Bridge Messaging (PDF)
• Provider Rounding Form (PDF)
• POLST (PDF)
• Service Vendor Validation Form

Spanish Forms

• Patient Enrollment Form – Spanish
• Patient Health History Form – Spanish
• PCMH Info Sheet – Spanish
• HIPAA Notice of Privacy Practices – Spanish
• Enrollment Checklist – Spanish
• Authorization Release – Spanish
• Consent HIPAA Acknowledgement – Spanish