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Form F252-110-000 Buprenorphine Transdermal Patch Authorization Request Form - Washington
What Is Form F252-110-000?
This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F252-110-000?
A: Form F252-110-000 is the Buprenorphine Transdermal Patch Authorization Request Form in Washington.
Q: What is the purpose of Form F252-110-000?
A: The purpose of Form F252-110-000 is to request authorization for the use of Buprenorphine Transdermal Patch in Washington.
Q: Who uses Form F252-110-000?
A: This form is used by healthcare providers in Washington who want to request authorization for their patients to use Buprenorphine Transdermal Patch.
Q: What is Buprenorphine Transdermal Patch?
A: Buprenorphine Transdermal Patch is a medication used to treat opioid dependence.
Q: Why do healthcare providers need to request authorization for Buprenorphine Transdermal Patch?
A: Authorization is required to ensure proper documentation and monitoring of the use of Buprenorphine Transdermal Patch, to ensure its appropriate use, and to prevent abuse or misuse.
Form Details:
- Released on July 1, 2016;
- The latest edition provided by the Washington State Department of Labor and Industries;
- 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 F252-110-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
