FILL & SIGN APPLICATIONS (Questions - Call: 781.757.2223 | Fax: 781.757.2275)

Option 1 - You can electronically sign the documents here and we will take it from there…

1. eSign HL Participant Application Form
2. eSign PCP Form - We will fax this to your PCP Office

Option 2 - DOWNLOAD THE FILLABLE FORMS BELOW - Fill, Sign, Scan and Email them back to us: operations@happylifeadh.com

1. Happy Life Participant Application Form
2. Happy Life Medical Eval - PCP Form
3. MassHealth PCP Auth Form

EMAIL US REQUIRED DOCUMENTS BELOW:

1. Copy of your Insurance Card (Masshealth / SCO)

2. Copy of Passport or Green Card

3. Drivers License or State ID

3. MH PCP Prior Auth Form - Filled / Signed by PCP

Email us the required documents to operations@happylifeadh.com