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Form DHS-4437-ENG Prosthetics and Orthotics Authorization Form - Minnesota
What Is Form DHS-4437-ENG?
This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS-4437-ENG Prosthetics and Orthotics Authorization Form?
A: The DHS-4437-ENG Prosthetics and Orthotics Authorization Form is a document used in Minnesota to request authorization for prosthetics and orthotics services.
Q: Who needs to fill out the DHS-4437-ENG Prosthetics and Orthotics Authorization Form?
A: The DHS-4437-ENG form needs to be filled out by healthcare professionals who provide prosthetics and orthotics services in Minnesota.
Q: What information is required on the DHS-4437-ENG Prosthetics and Orthotics Authorization Form?
A: The form typically requires information such as patient details, diagnosis, description of the prosthetic or orthotic device, and supporting documentation from healthcare providers.
Q: How long does it take to process the DHS-4437-ENG Prosthetics and Orthotics Authorization Form?
A: The processing time can vary, but it generally takes a few weeks for the DHS-4437-ENG form to be reviewed and a decision to be made.
Form Details:
- Released on August 1, 2011;
- The latest edition provided by the Minnesota Department of 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 DHS-4437-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
Download Form DHS-4437-ENG Prosthetics and Orthotics Authorization Form - Minnesota
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