Form FA-1B Mobility Assessment and Prior Authorization (Pa) Request for Mobility Devices, Wheelchair Accessories and Seating Systems - Nevada

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Instructions for Form FA-1B Mobility Assessment and Prior Authorization (Pa) Request - Nevada

What Is Form FA-1B?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. Check the official instructions before completing and submitting the form.

Form Details:

• Released on October 27, 2021;
• The latest edition provided by the Nevada Department of Health and Human Services;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form FA-1B by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.