Fill out and copy your forms. To view or print these files you need the free Adobe Acrobat Reader or other PDF reader.2. Scroll to the Information Sharing Authorization section of the web page. 3. Blank Application Forms. The below forms may be dropped at a secure drop box, at one of our offices, during regular business hours, am to pm. Contact Us: City Hall Address: 2263 Santa Clara Avenue Alameda, CA 94501 (510) 747-7400 View and download the Provider Demographic Attestation Form. To view a copy of the Alliance Provider Directory, please select a health care program. The Alliance Prior Authorization (PA) Request Form is used for all services requiring prior authorization from the Alliance. If you do not have network access please fill out a Network Access form.

Authority Letter For Collection Of Documents In Alameda

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