Changing the way you
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  • 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]. 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 FR Form 1.0