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Welcome, SIMS Providers!

On this page you will find the latest version of SIMS documents for you to download. Please call the confidential client/provider line at (512) 494-1007 if you have any questions.

Forms may be submitted via:

E-mail: emily@simsfoundation.org

U.S. Mail:
P.O. Box 2152
Austin, TX 78768-2152

Confidential Fax: (512) 542-9965

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CLIENT CONSENTS AND NOTICES
SIMS Consent for Release of Information 10-09
SIMS Notice of Privacy Practices 10-09
SIMS Limits of Confidentiality 10-09
SIMS Receipt-Acknowledge Notice 10-09
SIMS Client Statement of Income

FORMS FOR PROVIDERS TO COMPLETE
SIMS Claim Form 10-09
SIMS Provider Service Summary 2010
Psychiatric Services Claim Form 10-09

REFERENCES FOR PROVIDERS
SIMS Provider Billing Procedures 10-09
SIMS Policies for Providers 2010
SIMS Psychiatric Provider Billing Procedures 10-09
SIMS Policies for Psychiatric Providers 2010

FORMS FOR NEW PROVIDERS
SIMS  Provider Network Application 10-09
SIMS Agreement for Providers 10-09
Psychiatric Provider Network Application
SIMS Agreement-Psychiatric Providers 10-09