Provider Network Agreement

Document Information
  How to complete a fillable form.
Title Provider Network Agreement
Description The provider network agreement for participation in the health care provider network for injured workers covered by Washington State Fund and self-insured employers.
Document number F245-397-000
How to get this document
  • Download (60 KB MS Word .doc) 
  • Not available in print
Alt Language(s)
Valid dates 01/2012
Contact information Join the Network
Websites Join The Network, Medical Providers

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