| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
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| Title |
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| Description | When prescribing opioids for chronic, noncancer pain; the attending physician must submit this form, or an equivalent form at least every 60 days. Providers are encouraged to submit after each visit. |
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| Detail | ||
| Form number | F245-359-000 | |
| Availability | Order it |
|
| Keywords | attending doctor, self-insurance, self-insurer | |
| Languages | English | |
| Valid dates | 12-2010 | |
| Contact information |
Managing Injured Workers' Claims
Claims for Job Injuries |
|
| Web pages | For Medical Providers | |
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