Orthotist Prior Financial Approval Request Form

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This form is to be used for requesting prior financial approval to provide orthotic services to eligible veterans, war widow/ers and
dependents. Specifically, the form is for seeking approval to provide:

  • orthotic services above financial and quantity limits listed in the Orthotists Schedule of Fees; and
  • item numbers that require prior financial authorisation listed in the Orthotists Schedule of Fees, such as custom orthoses.