Authorization Form

Authorization Form

Authorization forms for patients can be completed by any Affordify platform user.

*Requirements:

Creating a new patient in Affordify

  1. Sign in from https://affordify.net
  2. Search for an existing patient or click on the “Checkout New Patient."
  3. In the upper right corner of the Patient Information section, you will have two options to complete an authorization form if one has not been completed already.
    1.  Sign Authorization form - open a window with authorization form to be completed on the spot.
    2.  Email Auth form - email a link to the patient to complete authorization form.
  4. Once the Authorization form is completed, you will see the   Download Auth form icon appear in the upper right corner of the Patient Information section
In the upper right corner of the Patient Information section, you will notice a different number of icons, depending on what the patient has on file.

Patients who DO NOT have an auth form on file, and DO NOT have an email will see these icons.
  •  Edit Patient
  •  Sign Authorization form


Patients who DO NOT have an auth form on file, and DO have an email will see these icons
  •  Email Auth form
  •  Sign Authorization form
  •  Edit Patient


Patients who HAVE an auth form on file will see these icons.
  •  Download Auth form
  •  Edit Patient