Forms & Documents Application Forms Application Instructions Application Signed Release Forms need to be returned with your application: English – Spanish (sign both front and back). Intake/Registration Sites What We Cover – English What We Cover – Spanish Member Forms Once you are enrolled in Access to Care, you will receive “Your Guide to Access to Care” as well as information about pharmacy programs and services covered. Be sure to read the forms thoroughly. Your Guide – English Your Guide – Spanish Medication Guide – English Medication Guide – Spanish Services Not Included – English Services Not Included – Spanish Lab Test Locations X-ray Test Locations ATC Flyer ‘What We Cover’ in additional languages:ArabicFarsiKoreanMandarinPolishRussianUrdu
