Forms & Resources
View or download reference materials and forms.
To receive any of these documents by fax or mail, email providerservices@alamedaalliance.org or call us at 510-747-4510. We are available Monday – Friday 7:30 am to 5:30 pm.
Use this form to submit requests for prior authorization of drugs for Alliance Medi-Cal and Alliance Group Care members to PerformRx, the Alliance's Pharmacy Benefit Manager (PBM).
Medication Request Form
If you become aware of a member with a problem or complaint about the Alliance, its policies, or its providers, please give the member this Complaint Form and a copy of the Member Guide to the Grievance and Appeals Process.
Member Guide to the Grievance & Appeals Process - English Spanish Chinese Vietnamese
Member Complaint Form - English Spanish Chinese Vietnamese
Use the Interpreter Request Form to request an interpreter, or sign language interpreter, for a member’s health care visit. Please request by fax or phone at least five (5) days in advance when possible.
Interpreter Request Form