Get a Form or Publication: hearing services

Your search for "hearing services" returned 3 documents.

Title Type Number
Hearing Aid Repair Authorization Fax Request

Hearing Aid Repair Authorization Requests. If you need to purchase or replace a hearing aid, fax all of the information required by Medical Aid Rules and Fee Schedule (MARFS) including the Hearing Services Worker Information (F245-049-000) to 360-902-6252.

Form F245-384-000
Hearing Services Worker Information

This is a list of the rights and conditions when an injured worker applies for hearing aids.

Form F245-049-000
Termination of Agreement (Rescission)

To be filled out by the injured worker who wants to return hearing aids.

Form F245-050-000



End of main content, page footer follows.

Access Washington official state portal

© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.