Member Forms

For Alliance Group Care and Medi-Cal Members: Authorized Representative Form
Choose to have a person, your representative, communicate with Alameda Alliance for Health on your behalf.



Immunization Registry Form
To start or decline sharing immunization (shot) information.

Viewing Member Materials

Alliance member materials have been created in Adobe Acrobat portable document format (PDF). To view and utilize the link and search functions of these documents, you will need to have Adobe Acrobat version 6.0 or higher. If you do not have this software, or have a lower version, you can click on the Adobe Acrobat Reader Icon below to download the software free of charge. (By clicking on this link, you are leaving our website.)

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Last updated 01022015