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

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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

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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