This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA13-871?
A: Form HCA13-871 is the Compression Garments Authorization Form for Washington (Lao).
Q: What is the purpose of this form?
A: The purpose of this form is to authorize the use of compression garments for medical purposes.
Q: Who needs to fill out this form?
A: This form needs to be filled out by the patient's healthcare provider.
Q: What information is required on this form?
A: This form requires information about the patient, healthcare provider, and details about the compression garments.
Q: Is there a deadline for submitting this form?
A: There may be a deadline specified by the healthcare provider, so it is recommended to submit the form as soon as possible.
Q: Are there any fees associated with this form?
A: Fees may apply, depending on the healthcare provider and insurance coverage.
Form Details:
Download a printable version of Form HCA13-871 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.