Form HCA13-871 Compression Garments Authorization Form - Washington (Lao)

Form HCA13-871 Compression Garments Authorization Form - Washington (Lao)

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.

The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-871?
A: Form HCA13-871 is the Compression Garments Authorization Form for Washington (Lao).

Q: What is the purpose of this form?
A: The purpose of this form is to authorize the use of compression garments for medical purposes.

Q: Who needs to fill out this form?
A: This form needs to be filled out by the patient's healthcare provider.

Q: What information is required on this form?
A: This form requires information about the patient, healthcare provider, and details about the compression garments.

Q: Is there a deadline for submitting this form?
A: There may be a deadline specified by the healthcare provider, so it is recommended to submit the form as soon as possible.

Q: Are there any fees associated with this form?
A: Fees may apply, depending on the healthcare provider and insurance coverage.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the Washington State Health Care Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form HCA13-871 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-871 Compression Garments Authorization Form - Washington (Lao)

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  • Form HCA13-871 Compression Garments Authorization Form - Washington (Lao), Page 1
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