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Forms

Grievance and Appeals Forms

Affinity Medical Group

  • Member Grievance Form – Affinity Medical Group

Affinity Participating Health Plans

  • Member Grievance Form – Aetna
  • Member Grievance Form – Anthem Blue Cross
  • Member Grievance Form – Blue Shield
  • Member Grievance Form – Health Net
  • Member Grievance Form – Sutter Health Plus
  • Member Grievance Forms – UnitedHealthcare
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