Customer Care: (619) 228-2300 or 1-800-359-2002   |   En Español

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Forms and Materials

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

•    Medical Prior Authorization Request — fax to (619) 740-8570
•    Pharmacy Prior Authorization Request — fax to (619) 740-8570
•    Member Grievance / Appeal Form — English
•    Member Grievance / Appeal Form — Spanish
•    Member Rights and Responsibilities — English
•    Member Rights and Responsibilities — Spanish
•    Provider Dispute Resolution Request
•    Case Management/ Disease Management Referral Facsimile Transmittal

We’re here to help

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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