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Form HCA13-770 Request for Additional Mg's of Synagis Due to Client Weight Increase - Washington
What Is Form HCA13-770?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HCA13-770?A: Form HCA13-770 is a request form for additional milligrams of Synagis due to a client's weight increase.
Q: What is Synagis?A: Synagis is a medication used to prevent severe respiratory infections in high-risk infants.
Q: What is the purpose of Form HCA13-770?A: The purpose of Form HCA13-770 is to request additional milligrams of Synagis for a client whose weight has increased.
Q: Who needs to submit Form HCA13-770?A: Form HCA13-770 needs to be submitted by healthcare providers or caregivers of high-risk infants.
Form Details:
- Released on August 1, 2016;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form HCA13-770 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA13-770 Request for Additional Mg's of Synagis Due to Client Weight Increase - Washington
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