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Forms

These commonly requested forms are provided to assist you in providing care to Sharp Health Plan members.

Important Update: The fax number for the Medical and Pharmacy Prior Authorization Forms has changed to (619) 740-8570.

•	Medical Prior Authorization Request
•	Pharmacy Prior Authorization Request
•	Member Grievance / Appeal Form — English
•	Member Grievance / Appeal Form — Spanish
•	Member Rights and Responsibilities — English
•	Member Rights and Responsibilities — Spanish
•	Provider Dispute Resolution Request

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If you can’t find what you are looking for, please don’t hesitate to pick up the phone and call Customer Care at (619) 228-2490, or send an e-mail via our Contact Us Form.

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