Healthcare can be complicated, but HSAs don’t have to be.
Avidia Health is with you every step of the way. Our resources will give you everything you need to know to make the most of your HSA.
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Additional Forms
Setting up a health savings account is simple. When you need a form to set up transactions or change your personal information, Avidia Health is here to help. Find electronic and printable forms below.
| Forms | Downloads |
|---|---|
| Account Maintenance | Mailed Form |
| Authorized Signer Form | Mailed Form |
| Beneficiary Form | Mailed Form |
| Check Order Form | Mailed Form |
| Contribution (Individual) Form | Mailed Form |
| Contribution Correction Form | Mailed Form |
| Distribution Reversal Form | Mailed Form |
| Account Closure Form | Mailed Form |
| Internal Transfer | Mailed Form |
| Rollover Form | Mailed Form |
| Custodial Transfer Form | Mailed Form |
If you need additional assistance, contact us directly and we’ll be glad to send you the forms: 855.248.6311 or HSADeposits@avidiabank.com.
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