Forms

[vc_row][vc_column][vc_column_text]Please submit the following forms: 

 

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/4″ el_class=”col-5″][vc_single_image image=”9264″ img_size=”full” alignment=”center” onclick=”custom_link” img_link_target=”_blank” title=”Medical” link=”https://ajbid.org/wp/wp-content/uploads/2018/07/medical-claim-form-1.pdf”][/vc_column][vc_column width=”1/6″ el_class=”col-5″][vc_single_image image=”9260″ img_size=”full” alignment=”center” onclick=”custom_link” img_link_target=”_blank” title=”Dental” link=”https://ajbid.org/wp/wp-content/uploads/2018/07/dental-claim-form.pdf”][/vc_column][vc_column width=”1/6″ el_class=”col-5″][vc_single_image image=”9256″ img_size=”full” alignment=”center” onclick=”custom_link” img_link_target=”_blank” title=”Tele/Drug” link=”https://www.express-scripts.com/TRICARE/benefits/dodMailOrderForm.pdf”][/vc_column][vc_column width=”1/6″ el_class=”col-5″][vc_single_image image=”9262″ img_size=”full” alignment=”center” onclick=”custom_link” img_link_target=”_blank” title=”Pharmacy” link=”https://ajbid.org/wp/wp-content/uploads/2017/06/Cigna-Home-Delivery-Pharmacy-Prescription-Order-Form-1.pdf”][/vc_column][vc_column width=”1/4″ el_class=”col-5″][vc_single_image image=”9258″ img_size=”full” alignment=”center” onclick=”custom_link” img_link_target=”_blank” title=”Vision” link=”https://ajbid.org/wp/wp-content/uploads/2018/07/vision_claim_form.pdf”][/vc_column][/vc_row]

Scroll to Top Skip to content