We need personal stories about patients that had a negative consequence because of the prior authorization process. The negative consequence could be a decline in function due to delay of care, the need to take prescription opioid medication due to the delay, and/or the parental or patient frustration with navigating the many requirements of the new authorization system, to name a few. In addition, we need the impact that the delay has had on the therapist and clinic - the hoops and hurdles the clinic had to do in order to provide the needed services to the beneficiary. Please share your experiences with us below (and describe one client/patient per page):

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* 1. Please provide the following contact information:

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* 2. Would you be willing to be contacted to share your story(ies) with the media (if the beneficiary and the clinic both agree to this)?

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* 3. Brief description of the impact the prior authorization had on this person:

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* 4. Brief description of the impact (financial, emotional, stress, etc.) the prior authorization had on the clinic/therapist:

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* 5. Do you have more Beneficiary stories to share with us?

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