Documents and Forms

Links to important forms and documents.

Provider Directories

Kaiser Permanente Providers and Locations – Northern California

Kaiser Permanente Providers and Locations – Southern California

Drug Formulary

Go to kp.org/formulary, choose your region, and select the HMO Formulary link.

Claim Forms

Medical Reimbursement Form

Disclosure forms

Disclosure Form - English

Disclosure Form - Spanish

Disclosure Form - Chinese

Disclosure Form - Vietnamese

Other Documents and Forms

KP Plus Information for Out-of-Network Providers

KP Plus Member Overview Flyer