Referral Forms

The Alliance Authorization Request (AAR)

The Alliance Authorization Request (AAR) form is used for all services requiring prior authorization from the Alliance. The Provider Services department supplies each provider that is contracted with the Alliance with the AAR. Contracted providers who are registered for a Web account with the Alliance may download the AAR as a Word document from the Provider Connection page. Contracted providers may also request the form by e-mailing or calling Provider Services at (510) 747-4510.