Massage Therapy Treatment Authorization Fax Request
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
Massage Therapy Treatment Authorization Fax Request (A fillable form - 542 KB PDF)
|
|
| Description | Used by a licensed massage practitioner/clinic to request authorization for outpatient massage therapy services for L&I claims. |
|
| Detail | ||
| Form number | F248-357-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | industrial insurance, Provider Hotline, worker's compensation, workers compensation, workers' compensation | |
| Languages | English | |
| Valid dates | 08-2012 | |
| Contact information | Sarah Martin - 360-902-4480
- masa235@LNI.wa.gov
|
|
| Web pages | Physical, Occupational & Massage Therapy For Medical Providers |
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