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CBA Clinical Forms 

Easily download our clinical forms below. Interested in completing these forms online? Visit our Form Resource Center.  

Online Form Resource Center

Looking for an administrative form? Log in to our provider portal for access to add a location, change of address and tax ID forms. 

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Form Quicklinks 

Outpatient Mental Health Request Forms 

Facility Forms 

Electroconvulsive Therapy Request Forms

Sending Forms to CBA

Fax: 803-714-6456
Phone: 800-868-1032
Mail to: 
Companion Benefit Alternatives, Inc. 
P.O. Box 10018, AX-315
Columbia, SC 29202

Log in to our provider portal for a full list of our administrative forms. 

Get quick access to our credentialing forms without logging in.