Click on the link below to access the Precertification Request Form from American Healthcare Holdings.
This form can be submitted two ways:
- The form can be printed, filled in and then faxed to American Healthcare Holdings at (877) 881-9643.
- The form can be filled in, saved and then emailed to firstname.lastname@example.org.
The form cannot be submitted on-line. The form must be either faxed or emailed, as listed above.