WARF - Outpatient Request Form

This application does not allow for attachments. If you have attachments to send with your request, please log in and use Care Affiliate to submit your authorization or referral request.

Note: If you are unsure what to select in the "Request Profile" section, please use the Request Profile Guide to help.

We also offer a step-by-step guide to using WARF.

To improve usability, changes to this tool are coming soon.

SSN Patient DBN

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Specialty Required

Please select requesting provider specialty to copy

Provider Search

I want to choose the provider Automatically select a provider for me Provider Name Postal Code
Name NPI TIN Group Name Street Address City State Postal Code Network Status

No matching providers are found. Click here to have HNFS locate a provider for the selected specialty

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