Form F-00212 Prior Authorization Intensive in-Home Mental Health/Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment - Wisconsin

Form F-00212 Prior Authorization Intensive in-Home Mental Health/Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment - Wisconsin

What Is Form F-00212?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on February 1, 2010;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • 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 F-00212 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

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Download Form F-00212 Prior Authorization Intensive in-Home Mental Health/Substance Abuse Services Assessment and Recovery/Treatment Plan Attachment - Wisconsin

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