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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 391
for the current year.
Form 391 Opioid Dependence Treatment Agreement and Patient Consent Form - Alabama
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What Is Form 391?
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.
Form Details:
- Released on August 3, 2022;
- 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 printable version of Form 391 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
