Orthopedic Surgery Prior Authorization Request Form

Streamline Orthopedic Surgery Prior Authorization with Paperform

Getting insurance approval for orthopedic surgery shouldn't mean drowning in paperwork. This Orthopedic Surgery Prior Authorization Request Form template helps healthcare providers, orthopedic surgeons, and medical office staff submit complete, organized prior authorization requests that improve approval rates and reduce back-and-forth delays.

Why healthcare providers choose this template

Insurance companies require detailed documentation before approving orthopedic procedures—from joint replacements to arthroscopic surgeries. This template captures everything payers need in one organized submission: patient demographics, clinical information, imaging results, conservative treatment history, functional limitations, and physician attestations.

Built specifically for orthopedic practices, surgery centers, and hospital pre-authorization departments, this form guides staff through the entire documentation process. Conditional logic shows relevant questions based on procedure type and body region, while calculation fields help quantify functional impairment using standardized scales.

Complete documentation in minutes, not hours

Replace scattered PDFs, fax forms, and portal uploads with a single digital form that your team can complete from any device. The template includes sections for detailed imaging findings, chronological treatment timelines, pain scales, functional assessments, and medical necessity justification—all formatted to match typical payer requirements.

After submission, use Papersign to route authorization approvals for physician signatures and send completed requests directly to insurance companies with a full audit trail. Connect the form to Stepper to automatically update your practice management system, notify relevant staff when approvals arrive, and track authorization status across multiple cases.

Built for the realities of medical billing

This template helps reduce denials by ensuring all required clinical information is captured upfront. Whether you're managing authorizations for total knee replacements, rotator cuff repairs, spinal procedures, or arthroscopic surgeries, the form adapts to your specialty while maintaining compliance with insurance documentation standards.

Paperform is SOC 2 Type II compliant and GDPR-ready, giving you enterprise-grade security for protected health information. Set up role-based access so surgeons, medical assistants, and billing specialists can each handle their portion of the authorization workflow without compromising patient privacy.

Trusted by orthopedic practices, ambulatory surgery centers, and hospital systems, this template turns the prior authorization process from a documentation burden into a streamlined workflow that gets your patients the care they need faster.