This version of the form is not currently in use and is provided for reference only. Download this version of Form F252-123-000 for the current year.
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.
Q: What is Form F252-123-000?
A: Form F252-123-000 is a document related to Onabotulinumtoxina for the prevention of chronic migraine in the state of Washington.
Q: What is Onabotulinumtoxina?
A: Onabotulinumtoxina is a medication used for the treatment of chronic migraine.
Q: What is chronic migraine?
A: Chronic migraine is a type of headache disorder characterized by frequent and severe migraines.
Q: What is the purpose of Form F252-123-000?
A: The purpose of Form F252-123-000 is to provide information and documentation related to the use of Onabotulinumtoxina for the prevention of chronic migraine in the state of Washington.
Q: Who needs to fill out Form F252-123-000?
A: Form F252-123-000 may need to be filled out by healthcare providers or patients seeking to receive Onabotulinumtoxina for the prevention of chronic migraine in Washington.
Form Details:
Download a fillable version of Form F252-123-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.