Louisiana Doctor Choice Form

• Category: Louisiana Workers Compensation - Official
• State: Louisiana
• Control #: LA-SKU-0621
• Format: PDF

Description

Doctor Choice Form The Louisiana Doctor Choice Form is an online form that allows individuals to select a primary care physician (PCP) and other specialists from the Louisiana Health Care Connections network. The form can be accessed through the Louisiana Health Care Connections website or app and is available to those who have health coverage through Louisiana Medicaid, Lac HIP, or a Qualified Health Plan. The form has three sections: selecting a primary care physician, selecting additional health care providers, and submitting and reviewing your selections. There are two types of Louisiana Doctor Choice Forms: one for individuals and one for families. The individual form allows users to select up to two providers, while the family form allows users to select up to four providers. Both forms have the same questions, but the family form allows for multiple provider selections.

The Louisiana Doctor Choice Form is an online form that allows individuals to select a primary care physician (PCP) and other specialists from the Louisiana Health Care Connections network. The form can be accessed through the Louisiana Health Care Connections website or app and is available to those who have health coverage through Louisiana Medicaid, Lac HIP, or a Qualified Health Plan. The form has three sections: selecting a primary care physician, selecting additional health care providers, and submitting and reviewing your selections. There are two types of Louisiana Doctor Choice Forms: one for individuals and one for families. The individual form allows users to select up to two providers, while the family form allows users to select up to four providers. Both forms have the same questions, but the family form allows for multiple provider selections.