Clinician Forms
Rx form and chart notes, most payors request two drug fails, behavioral therapy, bladder diary.
Complete them online, email to customercare@avation.com or fax to 614.559.6771.
Looking for Patient Forms? You can find them here.
Rx form (fill online or download pdf to fax)
Chart Notes
Insurance prior authorization cannot be initiated until all patient forms have been received.
Need Help?