PHC California

Rachel Sakai
AHF Provider

Publications and Forms

If you need a publication or form that is not available here, please contact Provider Relations.

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 Provider Relations at (888) 726-5411 between the hours of 8:30 am and 5:30 pm, Monday through Friday.


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