Forms and Documents

Genentech Rheumatology Access Solutions for Rituxan® (rituximab) Enrollment Forms

The Statement of Medical Necessity (SMN) and the Patient Authorization and Notice of Release of Information (PAN) forms are required for enrollment in Genentech Rheumatology Access Solutions.

GATCF Enrollment Forms

These forms are required to enroll your patient in GATCF.

Prior Authorization Tips and Checklists

Appeals Tips and Checklists

Other Important Documents