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.
|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|
|Individual Enrollment Form||Mailed Form|
|Rollover Form||Mailed Form|
|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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Thank you for your interest in opening up an Avidia Health HSA account. An Account Representative will be contacting you shortly.