California Participating Practitioner Application - sfhp 2026

1. Click ‘Get Form’ to open the California Participating Practitioner Application in the editor.
2. Begin by filling out the Identifying Information section. Enter your last name, first name, middle name, and any other names you may have used. Ensure to provide your contact details including mailing address, telephone numbers, and email.
3. Proceed to the Practice Information section. Here, input your practice name, primary office address, and contact information for your office administrator. Be sure to check for any changes that need updating.
4. In the Billing Information section, indicate which practice handles billing and provide necessary details such as billing company information.
5. Continue through sections detailing your Education, Training, Experience, Medical Licensure & Certifications. Fill in all required fields accurately.
6. Review all entries for accuracy before submitting. Utilize our platform's features to save or print a copy of your completed application for your records.

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