Hearing Aid Repair Authorization Fax Request
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
Hearing Aid Repair Authorization Fax Request (A fillable form - 135 KB PDF)
|
|
| Description | 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. |
|
| Detail | ||
| Form number | F245-384-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | hearing aids, hearing authorization, hearing repair, Provider Hotline | |
| Languages | English | |
| Valid dates | 01-2013 | |
| Contact information | ||
We value your feedback!
Please take this survey to help improve the L&I website.
Take survey
(About 3 minutes)
© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.