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Form 386 Wheelchair Modification / Repair Form - Alabama
What Is Form 386?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 386 Wheelchair Modification/Repair Form?
A: Form 386 is a document used for wheelchair modification or repair activities.
Q: Who can use Form 386?
A: Individuals residing in Alabama who require wheelchair modifications or repairs can use Form 386.
Q: What information is required on Form 386?
A: Form 386 requires information such as the individual's personal details, wheelchair specifications, and the reason for modification or repair.
Q: Are there any fees associated with Form 386?
A: The fees associated with Form 386 may vary depending on the specific wheelchair modification or repair requested.
Form Details:
- Released on October 11, 2017;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 386 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
Download Form 386 Wheelchair Modification / Repair Form - Alabama
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