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Form F-01017 Verbal Orders for Recertification: Home Health Agency Request for Variance of Physician Signature Requirement - Wisconsin
What Is Form F-01017?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form F-01017?
A: Form F-01017 is a document used in Wisconsin for requesting a variance of physician signature requirement for home health agency recertification.
Q: What is the purpose of Form F-01017?
A: The purpose of Form F-01017 is to request a variance from the requirement of a physician signature for home health agency recertification.
Q: Who uses Form F-01017?
A: Home health agencies in Wisconsin use Form F-01017 to request a variance of the physician signature requirement for recertification.
Q: What is the recertification process for home health agencies in Wisconsin?
A: Home health agencies in Wisconsin need to recertify their services periodically. The Form F-01017 is used to request a variance from the physician signature requirement during this process.
Q: Is the physician signature requirement always required for home health agency recertification in Wisconsin?
A: No, a variance can be requested using Form F-01017 to exempt the home health agency from the physician signature requirement during recertification.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the Wisconsin Department of Health 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 F-01017 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
