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CLEAN COPY DWC Form RFA - California Department of ...

CLEAN COPY DWC Form RFA - California Department of ...

www.dir.ca.gov

DWC Form RFA (Effective 2/2014) 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 process required by Labor Code section 4610.

  Form, Medical, Treatment, Request, Authorization, Medical treatment, Request for authorization, Request for authorization form

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