This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is F245-417-000?
A: F245-417-000 is the form for requesting authorization for physical, occupational, or massage therapy services in Washington.
Q: What is the Provider Hotline Service Authorization Request?
A: The Provider Hotline Service Authorization Request is a form specifically designed for requesting authorization for therapy services in Washington.
Q: What types of therapy services can be requested with this form?
A: This form is used to request authorization for physical, occupational, or massage therapy services.
Q: Who can use this form?
A: This form is used by providers of physical, occupational, or massage therapy services in Washington.
Q: What is the purpose of the authorization request?
A: The purpose of the authorization request is to obtain approval from the relevant authorities to provide therapy services to patients.
Q: How can providers submit this authorization request?
A: Providers can submit this authorization request form through the designated provider hotline service.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington state and is used for requesting authorization within the state.
Q: Are there any fees associated with this authorization request?
A: There may be fees associated with the authorization request, depending on the specific requirements of the therapy services and the relevant authorities.
Q: Is there a deadline for submitting this authorization request?
A: Specific deadlines for submitting the authorization request may vary depending on the circumstances, so providers should refer to the instructions or contact the relevant authorities for more information.
Form Details:
Download a fillable version of Form F245-417-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.