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If you do not have a PHYSICIAN LOGIN ID or if you do not wish to submit your request electronically, you can download an Authorization Request Form below.

Please fax all request forms to:
Clinix Healthcare
661-281-0814

Authorization Request Form
(Adobe Acrobat Reader)
Don't have a PHYSICIAN LOGIN ID?
Click HERE to sign up for one!
PHYSICIAN PORTAL LOGIN
EMAIL
PASSWORD
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By logging in to the Clinix Healthcare System,
you will be able to:
  • Request Precertifications Electronically.
  • Check the status of existing Precertifications instantly.
  • Communicate with Clinix Staff (about Precertifications and Cases that are in our system) through our SECURE MESSAGING SYSTEM.