Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the CareNow Authorization To Provide Services form and open it in your preferred editor.
2. In the 'Authorization Info' section, enter the authorized person's signature, print their name, phone number, and the date of authorization. Ensure that the details are correctly filled out to validate the form.
3. Move to the 'Employer Info' section. Fill in the company name and phone number for the organization that is requesting the services. This information establishes the employer's connection to the authorization.
4. In the 'Work Related Injury' section, answer whether the individual is seeking treatment for a work-related injury. If yes, provide the date of injury and indicate if a drug screen is required.
5. Select the type of drug screen required by marking the appropriate checkboxes for either standard or instant panels, as well as the reason for the drug screen, such as pre-employment or post-accident.
6. Specify the collection type and location by providing the address if the organization has multiple sites. This ensures that the service can be effectively coordinated.
7. Complete the 'Patient Info' section by filling in the patient’s name, job title, social security number, and date of birth. It's important for identification purposes.
8. For physicals or additional services, indicate which services are needed, such as basic physicals, DOT physicals, or others, as needed for the patient's situation.
9. After filling in all the necessary fields, review the form for accuracy and completeness. Make sure all required checkboxes are filled in.
10. Finally, save your changes, download the completed form, print a copy for your records, or share it as necessary.

Complete your CareNow Authorization To Provide Services online for efficient processing.