Hearing Aid Repair Authorization Fax Request

Document Information
  How to complete a fillable form.
Title Hearing Aid Repair Authorization Fax Request

Hearing Aid Repair Authorization Requests. If you need to purchase or replace a hearing aid, fax all of the information required by Medical Aid Rules and Fee Schedule (MARFS) including the Hearing Services Worker Information (F245-049-000) to 360-902-6252.

Document number F245-384-000
How to get this document
Alt Language(s)
Valid dates 10/2014
Contact information

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