Medi-Cal forms & documents
Some of our members' materials are available online. To view and print the materials listed below, you must have Adobe Acrobat Reader.
Request a print or alternate format document
SCFHP documents are available below for easy viewing and download. If you need a printed version of a document, a printed document in another language, or a document in an alternate format, please fill out and submit this form.
SCFHP Member Documents
| Name | English | Español | Tiếng Việt | 中文 | Tagalog |
|---|---|---|---|---|---|
| Evaluating New Technology | Link | Link | Link | Link | Link |
| Medi-Cal Provider Directory | Link | Link | Link | Link | Link |
| Medi-Cal Member Handbook | Link | Link | Link | Link | Link |
| Member Rights & Responsibilities | Link | Link | Link | Link | Link |
Pharmacy Documents
| Name | English | Español | Tiếng Việt | 中文 | Tagalog |
|---|---|---|---|---|---|
| Medi-Cal Rx Covered Drug List | Link | ||||
| Medi-Cal Rx Pharmacy Directory | Link |
Forms
| Name | English | Español | Tiếng Việt | 中文 | Tagalog |
|---|---|---|---|---|---|
| Authorized Representative Form | Link | Link | Link | Link | Link |
| Grievance Form | Link | Link | Link | Link | Link |
| Health Information Form for New Members | Link | Link | Link | Link | Link |
Resources
| Name | English | Español | Tiếng Việt | 中文 | Tagalog |
|---|---|---|---|---|---|
| Language Assistance Services | Link | Link | Link | Link | Link |
| Notice of Nondiscrimination | Link | Link | Link | Link | Link |
| Notice of Privacy Practices | Link | Link | Link | Link | Link |
| Denti-Cal Providers | Link | ||||
| Vision Service Plan (VSP) Doctor Directory | Link | Link | Link | Link | Link |
| YMCA Membership Program | Link | Link | Link | Link | Link |