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This form is used for summarizing mental health notes in Ohio, specifically for non-psychotherapy notes.

This form is used for medication physician review in Ohio. It is specifically related to the Ohio Bureau of Workers' Compensation (BWC) and is known as Form MEDCO-22 or BWC-3922.

This document is used for creating a rehabilitation agreement in Ohio. It is a form that outlines the terms and conditions for the rehabilitation process.

This Form is used for the Certification Agreement between an injured worker and a service provider (contractor) in Ohio.

This Form is used for Managed Care Organizations (MCO) in Ohio to request Drug Utilization Review (DUR) services from MEDCO-34 (BWC-3934).

This form is used for loaning or releasing tools and equipment in the state of Ohio.

This form is used for creating a work trial agreement in Ohio. It helps employers and prospective employees outline the terms and conditions of a trial period before official employment.

This form is used for applying for accrued compensation in the state of Ohio.

This type of document is a consent form used in Ohio (Spanish) to authorize the disclosure of information.

This Form is used for reporting earnings to claim Living Maintenance Wage Loss Compensation in Ohio.

This type of document is a "Formulario C-108-ES (BWC-1231) Renuncia Al Periodo De Apelacion" which is used in Ohio. It is a form used to waive the appeal period.

This Form is used for authorizing the receipt of compensation checks for work-related accidents in Ohio.

This Form is used for recording job search contacts as part of the vocational rehabilitation plan in Ohio.

This document is for residents of Ohio who have undergone a hysterectomy. It provides instructions for filling out the Form ODM03199, which is used to acknowledge receipt of important information regarding the procedure.

This document is an addendum to the ODM provider agreement for the Nursing Facility Ventilator Program in Ohio. It includes additional information and terms related to the program.

This form is used for reporting the closure of a vocational rehabilitation program in Ohio.

This Form is used for basic medical purposes in the state of Ohio.

This form is used for requesting a certificate of medical necessity for compression garments in the state of Ohio.

This form is used for obtaining a Certificate of Medical Necessity for Apnea Monitors in the state of Ohio. It is required for individuals who need these monitors for medical reasons.