Obtenga un formulario o publicación: fee schedule
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| Título | Tipo | Número |
|---|---|---|
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 |
Mental Health Fee Schedule and Billing Guidelines Manual: This manual is for providers who bill the Crime Victims Compensation Program for mental health services for crime victims. |
Manual | F800-105-000 |
| Medical Forms Request
Used to order L&I medical forms. |
Form | F208-063-000 |
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