Physician Resources
Authorization/Referral Forms
For your convenience, the latest Referral and Prior Authorization Forms are available for download and use by MetCare physicians, nurses and our affiliate providers.
- PCP Referral Request - In Network
- Prior Authorization - In Network
- Prior Authorization - Out of Network
- Specialists Referral Request - In Network
- Panhandle PCP Referral Request – In Network
- Panhandle Prior Authorization - In Network
- Panhandle Prior Authorization - Out of Network
- Panhandle Specialist Referral Request - In Network
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