Application Documents
HSC/LAC Application Form
Attestation Form
HSC Release
Professional Practice Questions
CME Form
References List
California Participating Physician Initial Application Form in Word Format
California Participating Physician Initial Application Form in PDF Format
California Participating Physician Reappointment Application Form in Word Format
California Participating Physician Reappointment Application Form in PDF Format
CPPA Addendum A
CPPA Addendum B
Texas Application