Massage Therapy Treatment Authorization Fax Request

Massage Therapy Treatment Authorization Fax Request - (Forms/Publications)
Document Information
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Title Massage Therapy Treatment Authorization Fax Request (A fillable form - 542 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. See document above to download.
Keywords industrial insurance, Provider Hotline, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 08-2012
Contact information Sarah Martin - 360-902-4480 - masa235@LNI.wa.gov
Web pages Physical, Occupational & Massage Therapy
For Medical Providers

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