Follow the steps to fill out the application form accurately.

1. Click ‘Get Form’ button to access the All Wales Prior Approval Request (PAR) Application Form and open it in your editor.
2. In the first section, enter the details of the resident or patient making the request. Ensure to provide the forename, surname, address including the postcode, National Insurance number, and date of birth. Indicate whether you have lived in the UK for more than one year and provide consent for residency confirmation if necessary.
3. Next, fill out the details of the European organization providing the treatment or surgery. Include the company or treatment center name, address, and contact information. Specify if the healthcare is provided by a public or private facility and name the lead clinician responsible for your care.
4. In the section for the clinician supporting the request, provide their name, job title, NHS health board or trust, and contact details. This clinician must be currently involved in your care.
5. Detail the intervention you are seeking in the prior approval request section. Choose from options like drug, medical device, surgical procedure, or therapy, and clearly outline the diagnosis and condition being treated. Provide information regarding current treatment in the UK and any applicable aftercare plans.
6. Share any additional relevant information that may support your application, including evidence of clinical needs and follow-up care arrangements.
7. Provide your consent for the health board to request further clinical information as needed. Ensure you sign and date the form after completing it to confirm accuracy.
8. Finally, review the form for completeness. You can save changes, download a copy, print it, or share it as necessary to submit your request to the appropriate health board.

Begin your application process now by filling out the All Wales Prior Approval Request (PAR) Application Form online.