PDF
Word
Instructions for Form FA-1B Mobility Assessment and Prior Authorization (Pa) Request for Mobility Devices, Wheelchair Accessories and Seating Systems - Nevada
This document contains official instructions for Form FA-1B , Mobility Assessment and Prior Authorization (Pa) Request forMobility Devices, Wheelchair Accessories and Seating Systems - a form released and collected by the Nevada Department of Health and Human Services. An up-to-date fillable Form FA-1B is available for download through this link.
Instruction Details:
- This 6-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Nevada Department of Health and Human Services.
Other Revision
Download Instructions for Form FA-1B Mobility Assessment and Prior Authorization (Pa) Request for Mobility Devices, Wheelchair Accessories and Seating Systems - Nevada
1
2
3
4
5
6
