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FINAL DWC Form RFA

FINAL DWC Form RFA

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DWC Form RFA (version 01/2014) Page 2 Instructions for Request for Authorization Form Overview: The Request for Authorization for Medical Treatment (DWC Form RFA) is required for the employee’s treating physician to initiate the utilization review …

  Form, 2014, Dwc form rfa

Download FINAL DWC Form RFA


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