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  • Publications and Forms

    These publications and forms are for plan members. If you need a publication or form that isn’t here, contact Member Services. If you want a printed copy of any of the items here, contact Member Services.

    To report any errors in the PHC California Provider Directory, please send an email to [email protected]. You may also report directory errors by calling Member Services at (800) 263-0067, Option 1 (TTY 711). Agents are available Monday through Friday, 8:00 am to 8:00 pm.
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    You will need the Adobe Acrobat Reader program to view the above forms. To download this free program click here or use the link above – the link will open a new window and take you to the Adobe website.
     
     

    DHCS 030716 PHC FR Form 1.0
    Page Updated: April 4, 2024 @ 8:37pm