Provider Forms

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

Content CTA: 
Case Management Forms
Disease Management Forms
Health Education Forms
Member Demographic Data Report
Employee Language Skills Self-Assessment Form
Patient Interpreter Services Labels
Provider Portal Resources
Additional Referral Forms