Altus Dental Enrollment Forms
Press links below to view each form or press All Forms to view all forms at once. Forms are in PDF format which you can print from Acrobat Reader.


Preferred and Preferred Plus


All Forms

Eligibility Form Benefit Highlights
Employer Application Enrollment Form
Waiver of Coverage FormPre-authorized Checking Application
New Business Verification Form


1 Person Dental

All Forms

Eligibility Form Benefit Highlights
Employer Application Enrollment Form
Waiver of Coverage Form Pre-authorized Checking Application
New Business Verification Form