| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-11019A | Prior Authorization / Physician Otological Report (PA/POR) Completion Instructions (PDF) | 07/01/2012 | English | No |
| F-11019 | Prior Authorization / Physician Otological Report (PA/POR) (PDF) | 07/01/2012 | English | No |
| F-11019 | Prior Authorization / Physician Otological Report (PA/POR) (Word) | 07/01/2012 | English | No |
Last revised September 21, 2026