Massage Practitioner (LMP) Treatment Authorization FAX Request


Massage Practitioner (LMP) Treatment Authorization FAX Request

Document Information
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Title	Massage Practitioner (LMP) Treatment Authorization FAX Request (A fillable form - 185 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
Keywords	authorization, claims, industrial insurance, insurance, massage, therapy, worker's compensation, workers compensation, workers' compensation
Languages	English
Valid dates	06-2007
Contact information	Sarah Martin - 360-902-4480 - masa235@LNI.wa.gov
Web pages	Physical, Occupational & Massage Therapy For Medical Providers