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.
Q: What is Form HFS2305I?
A: Form HFS2305I is a questionnaire and order form for Neuromuscular Electrical Stimulator (NMES).
Q: What is a Neuromuscular Electrical Stimulator (NMES)?
A: A Neuromuscular Electrical Stimulator (NMES) is a device used to stimulate muscles with electrical impulses.
Q: Who can use Form HFS2305I?
A: Residents of Illinois who require a Neuromuscular Electrical Stimulator (NMES) can use Form HFS2305I.
Q: What is the purpose of Form HFS2305I?
A: The purpose of Form HFS2305I is to gather information and place an order for a Neuromuscular Electrical Stimulator (NMES).
Form Details:
Download a fillable version of Form HFS2305I by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.