Occupational or Physical Therapy Treatment Authorization Fax Request


Document Information
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Title Occupational or Physical Therapy Treatment Authorization Fax Request
Description

Used by a therapy provider/clinic to request authorization for outpatient occupational or physical therapy services for L&I claims.

Document number F248-055-000
How to get this document
Keywords injured worker, occupational therapy, physical therapy, Provider Hotline, therapist
Alt Language(s)
Valid dates 10/2014
Contact information Managing Injured Workers' Claims
Websites For Medical Providers

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