"Company" and "Program" may often mean virtually the same thing.

Some programs require an advocate to act for patient (one program is GlaxoSmithKline Bridges To Access)

If notes ever say something like "meet program financial guidelines." then it is likely that the program does not divulge guidelines by which they admit or not admit a patient into their program.

Only in rare cases will the program disclose their program financial guidelines. If they do, a brief overview of the guidelines will be listed.

When noted "Application may be copied." this means that the blank application before it is completed may be copied for others use or as an extra just in case. However, it is always a good practice to copy all applications you have completed especially if you send the original through the mail.

Doctor/provider's role: this usually always will mean the patient's doctor but it is normal for the doctor's nurse to act for doctor. This is one instance where it probably is appropriate for the nurse to do most of the work. However, the doctor would confirm the completed application as being correct and then sign.

It virtually goes with out saying that in most all cases when an application is required by the program, the patient and doctor will both sign it (do not stamp instead of writing signature) although there are exceptions. In most cases a Power of Attorney (or guardian) may be able to sign for patient when patient cannot (Check with the program).

For programs that require a new application frequently in order to renew your program benefits, you may want to make a copy without signatures and dates. This will keep you from having to complete an application form every time. Check with program to find out if this is a viable solution. Many programs require updated financial information yearly.

Confirm with the program when the patient can expect to receive the medication (if applicable).

In most cases, a signature will be needed when receiving a mailed prescription package to the home.

Provider oftens means doctor but could mean a clinic or hospital in fewer circumstances.

Always complete the applications fully or they may likely be sent back by the program.

It pays to have good manners and protocol when dealing with these programs/companies. They are the ones giving you free meds.they do not have to give you free meds so do not act like they owe you something even if you think that. Your bad protocol hurts your own access and others who need free meds.

"na" means "not applicable".