Obtenga un formulario o publicación: occupational therapy

Su búsqueda de "occupational therapy" consiguió 3 resultados.

Título Tipo Número

Occupational or Physical Therapy Treatment Authorization Fax Request


Used by a therapy provider/clinic to request authorization for outpatient occupational or physical therapy services for L&I claims.

Form F248-055-000

Performance Based Physical Capacities Evaluation


Used by occupational and physical therapy providers as an optional reporting format for a Performance-based Physical Capacities Evaluation.

Form F245-023-000

Physical Therapy / Occupational Therapy Progress Report to Claim Managers


The physical / occupational therapist uses this report to identify the clinical goals and return to work objectives of the injured worker.

Form F245-059-000

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