Access 360 General Patient Authorization Form (PAF)

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Access 360 General Patient Authorization Form (PAF)

Access 360 General Patient Authorization Form (PAF)

This brief form, once completed, gives Access 360 the ability to provide select services to you. Available in English and Spanish. The Access 360 General Patient Authorization Form must be signed for you to utilize Access 360 support.

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Click here to fill out the form online.

Understanding Medicare Brochure

Understanding Medicare Brochure

This brochure explains Medicare Parts A, B, C, and D. You will also find an overview of the current Medicare Coverage Gap (or Donut Hole).

Patient Overview Brochure

Patient Overview Brochure

Use this tool to learn how Access 360 can help you get the care you need