---
title: Medical Prior Authorization Software Trial Request Form Template | Paperform
description: Capture qualified trial requests for prior authorization software with specialty, insurance complexity, approval goals, and billing manager verification built in.
url: "https://paperform.co/templates/medical-prior-authorization-software-trial-request"
type: static
generatedAt: "2026-03-28T00:44:29.455Z"
---

[← Back to free form templates](/templates/)    ![Medical Prior Authorization Software Trial Request](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-prior-authorization-software-trial-request.png)
    [Preview](https://_preview.paperform.co/ai-template/medical-prior-authorization-software-trial-request) [Use this template for free](/create?ai-template=medical-prior-authorization-software-trial-request)    [Order & Booking Forms](/templates/category/orders/)[Healthcare & Medical Forms](/templates/category/healthcare/)[SaaS & Startup Forms](/templates/category/saas-startups/) [Software & SaaS](/templates/industry/software-saas/)[Healthcare](/templates/industry/healthcare/) [Sales Professional](/templates/role/sales-professional/)[Office Manager](/templates/role/office-manager/)[Physician](/templates/role/physician/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
Healthcare providers waste countless hours navigating prior authorization requirements, leading to delayed patient care and administrative burnout. Our medical prior authorization software streamlines the entire process—from submission to approval—so your team can focus on patients, not paperwork.

This trial request form helps us understand your practice's unique needs. Whether you're a multi-specialty group handling dozens of insurance carriers or a focused practice looking to improve approval rates, we'll configure your trial environment to match your real-world scenarios.

**Why Paperform for healthcare software trials?**

Paperform makes it easy to create professional trial request forms that capture the nuanced details healthcare software companies need. With conditional logic, you can show relevant questions based on practice type or insurance complexity. Built-in calculations help qualify leads based on volume or urgency scores.

Once someone submits a trial request, use **[Stepper](https://stepper.io)** to automatically route high-value leads to your sales team, provision trial accounts in your system, send personalized onboarding sequences, and schedule follow-up calls—all without manual data entry.

For teams that need additional verification steps, **[Papersign](https://papersign.com)** can handle BAA agreements or trial terms digitally, keeping everything connected to the original form submission.

With SOC 2 Type II compliance and robust security controls, Paperform gives healthcare technology companies the trust and flexibility they need to capture leads and convert trials efficiently.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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