Medical Device Review Request


Document Information
  Get help downloading & printing files.   How to complete a fillable form.
Title Medical Device Review Request
Description

This form is so L&I's Office of the Medical Director can evaluate medical device(s) that the attending physican wants to use to treat an injured worker.

Document number F252-013-000
How to get this document
Alt Language(s)
Valid dates 04/1997
Contact information Claims for Job Injuries, Employer Services
Websites For Medical Providers

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.