Associate Member Application

Any organization other than a private or public payer of prior authorization or specialty drug claims may apply for associate membership.

Non-payer stakeholders can apply for associate membership. The annual associate membership fees are $10,000 plus HST annually for the silver level and $15,000 plus HST annually for the gold level. The gold level is a requirement for those organizations who apply for a seat on the Framework and Accreditation Advisory Board or the Accreditation Panel. A full list of associate member benefits can be found in Section 4 of the PAFA Program Guide.

Drug access navigator associations and patient groups are eligible for a preferred associate membership fee of $2,500 plus HST annually. These organizations may also apply for a seat on the Advisory Board or Accreditation Panel.

You can complete and submit this form electronically. Once your application is approved you will be notified, and an invoice will be sent via email to the contact listed below from PAFA. If you have any questions about this application, contact Denise Balch denisebalch@priorauthframework.ca, admin@priorauthframework.ca or call 905 220 4260.

This field is for validation purposes and should be left unchanged.
Business Address(Required)
Stakeholder Type(Required)
Please provide more information if your organization doesn't match one of the above categories.
Contact Person Name(Required)
Email Address(Required)
*plus applicable taxes

Please attach a copy of your organization’s written support of the PAFA Program’s Guiding Principles as part of this application and any communication sent to employees. You may also include any information posted publicly on your website.

Your organization's statement supporting the PAFA Program’s Guiding Principles must:

  • Be on your organization’s letterhead, dated, and with your organization’s logo
  • Be signed by your President, COO, Vice President or Director, including their phone and email address
  • Confirm your organization’s support and list the Guiding Principles, found in Section 2 of the PAFA Program Guide

View sample statement of support here.

All documents must be uploaded as part of your application and combined in one PDF file.

Accepted file types: pdf, doc, docx, png, jpg, Max. file size: 10 MB.

Date(Required)
Any additional notes, contact details or invoicing instructions can be entered below. Or you can contact denisebalch@priorauthframework.ca, info@priorauthframework.ca or call 905 220 4260.