Member Handbooks and Forms

Handbooks

• Sunflower Health Plan Member Handbook - English (PDF) 
• Sunflower Health Plan Member Handbook - Spanish (PDF)

• Sunflower Health Plan Benefits Booklet - English (PDF) 
• Sunflower Health Plan Benefits Booklet - Spanish (PDF)

• CentAccount Catalog - English (PDF) 
• CentAccount Catalog - Spanish (PDF)

• Integrated Life Plan (PDF)
• Provider Directory - Use our Find-a-Doctor tool or contact customer service at 1-877-644-4623 for a copy of this directory.

Forms

• Notification of Pregnancy Form - English (PDF) 
• Notification of Pregnancy Form - Spanish (PDF)

• PCP Change Form - English (PDF) 
• PCP Change Form - Spanish (PDF)

• Appeal & Grievance Authorized Representative Form (PDF)
• Appeal Form (PDF)
• Authorization to Disclose or Revoke PHI Form (PDF)
• Office Visit Checklist - English (PDF) | Office Visit Checklist - Spanish (PDF) - Use this worksheet to help you prepare for your appointment and for writing notes during your visit. Take charge of your health by asking questions and sharing information, so your PCP can help you receive the best possible care.