New Advanced Beneficiary Notice (ABN) 

Attn.: UVCA Members

We have updated the Advanced Beneficiary Notices (ABNs) in the VCA Vault.

In the VCA Vault:
(Be sure to log in first!)
1.     Scroll down on the lefthand side and click on “Insurance”
2.     Click on “Forms”

Below “Advanced Beneficiary Notice (ABN) – Through 1/31/2026” you’ll find links to all of the following:

• ABN in English (Word)
• ABN in English (PDF)
• ABN in English, Large Print (Word)
• ABN in English, Large Print (PDF)
• ABN in Spanish (Word)
• ABN in Spanish (PDF)
• ABN in Spanish, Large Print (Word)
• ABN in Spanish, Large Print (PDF) 

A big thanks to Gold Star Medical Business Services for pulling these updated forms together for us to share with you!