FREE 9+ Sample Authorization Request Forms in PDF | MS Word | Excel

In cases where there is a need to access some sort of restricted area or undisclosed information, an Authorization Form should be the primary requirement. This is done to formally grant access to a particular place or view any particular information. Authorization is to allow access only to those resources which are appropriate to that entity’s identity. Typically, these forms are created following an acceptable agreement between two parties to exchange ideas, or step inside a restricted area for the sole intention that is specifically stated in the agreement.

Standardized Authorization Request Form

Prior Authorization Request Form

Third Party Authorization Request Form

Return Authorization Request Form

Medical Prior Authorization Request Form

A Prior Authorization Form is a requirement used by most insurance companies in the United States for them to determine if a procedure, service, or medication can be covered by terms governing an individual’s insurance portfolio. This is primarily intended to act as safety and cost-saving measures by most companies, though it has received criticism from physicians and medical institutions for being costly and time-consuming. Before agreeing to cover a certain medical procedure or intervention, the insurance companies will need to check if the patient was able to secure approval of such form. Most insurance companies will require these types of forms to determine the individual’s age, medical necessity, availability of alternative medication, or to check drug interactions.

Insurers have stated that the purpose of these forms is basically to provide cost savings to consumers by preventing unnecessary procedures as well as the prescription of expensive branded drugs when there is an appropriate generic available. In addition, this may help prevent potentially dangerous drug interactions. There have been a number of legislative and technological developments to make the process more efficient. In some states, a standardized and electronic filing system for these forms has been created. Check out some of the samples right here.

Authorization Request Form in PDF

New Authorization Request Form

Authorization Request Form Example

Service Authorization Request Form

Generic Authorization Request Form

General Authorization Request Form

As soon as your new employer requires you to undergo a medical examination or simply get the laboratory results of your loved ones, you are required to submit a Medical Authorization Form. This will be used as the basis for the laboratory to divulge the results to a third party or someone who is not directly related to the patient. This may also serve as legal proof should the need arise between the patient and the laboratory. Getting these forms will require prior approval from the patient who has been required to go through a medical examination prior to entering into a contract.

This can form part of a requirement but can be arranged should there be an intervention given, such as medicines. It will then be reviewed by the employer to determine if they can already offer you the position or simply by your attending physician to gauge how well your body reacts to the given intervention and to make sure that you are completely healed. Knowing one’s state of health is definitely of high importance.