Tar forms 2026

1. Click ‘Get Form’ to open the Treatment Authorization Form in the editor.
2. Begin by entering the Member Information. Fill in the Name, Date of Birth, and SFHP ID # fields accurately.
3. Next, provide details for the PCP/Referring Provider section. Include their Name, Phone #, Fax #, Specialty, and Contact Person's Phone #.
4. In the Specialist section, enter the Specialist's Name, Extension, Address, and Fax #.
5. For REQUESTED SERVICES, select the type of service required by checking the appropriate box. Include a Diagnosis Description and ICD-9 code.
6. Complete the Specific Services Requested section by entering Procedure Codes (CPT codes) as needed.
7. For completion by Referring Provider, ensure you sign and date the form to certify medical necessity.

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