Subacute Opioid Request Form

Subacute Opioid Request Form - (Forms/Publications)
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Title Subacute Opioid Request Form (A fillable form - 185 KB PDF)

Use this form to request opioid coverage between 6 weeks to 12 weeks from the date of injury or surgery.

Form number F252-097-000
Order it
Keywords opioids, pain management, request
Languages English
Valid dates 07-2013
Contact information   - 360-902-5762 -
Office of the Medical Director

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