Needs Processing Form

For Altrua HealthShare to process medical needs for all accidents and injuries, members must complete and submit a Needs Processing Form. If you have questions about a medical need or the Needs Processing Form, please contact a member service representative by calling the toll free number (888) 244-3839 option 2. Needs Processing Form may be filled out online and submitted or completed forms can be faxed to 512-382-5520.

Needs Processing Form