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AleraPay HIPAA Form
If you’d like AleraPay to share information about you with another party, please complete this form.
AleraPay Direct Deposit Set-up
Set-up a direct deposit for your account following these instructions.
AleraPay Claim Form
Need a reimbursement request form? Download and complete our claim form.
AleraPay Website Login Instructions
Use these instructions to log into your AleraPay participant account.