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Form HFS1662 Primary Care Physician / Pharmacy Authorization (Non-emergency Services Only) - Illinois
What Is Form HFS1662?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is HFS1662 Primary Care Physician/Pharmacy Authorization?
A: It is an authorization form for non-emergency services in Illinois.
Q: Who can use HFS1662 Primary Care Physician/Pharmacy Authorization?
A: Individuals in Illinois who need non-emergency medical services.
Q: What is the purpose of HFS1662 Primary Care Physician/Pharmacy Authorization?
A: To provide authorization for non-emergency medical services and prescriptions.
Form Details:
- Released on May 1, 2014;
- The latest edition provided by the Illinois Department of Healthcare and Family 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 HFS1662 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
