PHC California

Rachel Sakai
AHF Provider

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 and Pharmacy, please send an email to [email protected], or send a message using our web form. 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.

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 Form 1.0