Aid Code Master Chart Appeal Form / SpanishAuthorization Request Packet-Contracted Provider to El Dorado County of El Dorado Change of Provider (clinician, case manager, or counselor) Request Form Complaint Form Disclosure Receipt Form / SpanishGrievance Form / SpanishLevel of Care Reporting Spreadsheet Member & Applicant Rights and Problem Resolution Process / SpanishMember Handbook Notice of Adverse Benefit Determination Form Treatment Authorization Request Form What is a Grievance? FAQ’s / SpanishWhat is an Appeal? FAQ’s / Spanish