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For referrals to Enhanced Care Management (ECM) Services, fill out this referral form and have your doctor fax it to the Enhanced Care Management team at 831-430-5819 or you can mail the form to:
ECM/CS
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066-4981
Open Enhanced Care Management (ECM) Member Referral Form
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- Hnub Monday txog hnub Friday, thaum 8 am. txog 5:30 p.m.
- Tus Xov Tooj: 800-700-3874
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Alliance Tus Xov Tooj TTY: 800-735-2929 (Ntaus 711) - Tus Xov Tooj Nug Kev Pab Los Ntawm Ib Tus Kws Tu Neeg Mob
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