Download Forms

We have made important forms available for download. Don't see what you need? Check out the Member Portal or call Customer Service at (877) 395-9420.

• Appointment of Authorized Representative

• Tools and Resources for Dental Plan Enrollees

• Claim Form: 
  Dental Claim Form: To access a dental claim form, please log into Member Portal You can also call Customer Service at (877) 395-9420 or send an email to customerservice@deltadentalnm.com to request a dental claim form.

Mail completed claims to:

Delta Dental of New Mexico
100 Sun Avenue NE, Suite 400
Albuquerque, NM 87109

• Disabled Dependent Form

• Individual Authorization Form

• Instructions for Printing a Personalized ID Card from Consumer Toolkit

Automated Phone System Reference

• DASI Easy Reference Card for Members 

• DASI Shortcuts for Members