doctor filling out paperwork at her desk

Need to Find a Form or Glance at Guidelines?

Here's your one-stop shop for L.A. Care provider manuals and commonly used forms.

Manuals and Forms

Provider Manuals

 

To help you better understand our guidelines, policies and procedures, L.A Care issues a manual to its providers each year. You can review a PDF version by selecting the appropriate manual on the Resources links.

 

Provider Forms

 

Below are the most frequently requested forms for L.A. Care Providers. If you have a suggestion for how we can improve any of the available forms, please contact Provider Support.

Case Management Forms
Disease Management Forms
Health Education Forms
Member Demographic Data Report
Employee Language Skills Self-Assessment Form
Interpreter Poster
Patient Interpreter Services Labels

Preferred Language Labels (Sized for Avery 5160)
Interpretation Request/Refusal Labels (Sized for Avery 5160)

Provider Portal Resources
Additional Referral Forms