Dwc Form Rfa California - Web request for authorization for medical treatment (dwc form rfa) to accompany the doctor’s first report of occupational. Identify both the employee and yourself, identify specifically the recommended. Web utilization review under the new independent medical review process begins with the receipt by the claims. Web use the dwc request for authorization form. This form must accompany the doctor’s first report. Per regulation 9792.6.1(t)(3), a completed rfa must include the signature of the treating.
Identify both the employee and yourself, identify specifically the recommended. Web use the dwc request for authorization form. Web utilization review under the new independent medical review process begins with the receipt by the claims. Per regulation 9792.6.1(t)(3), a completed rfa must include the signature of the treating. Web request for authorization for medical treatment (dwc form rfa) to accompany the doctor’s first report of occupational. This form must accompany the doctor’s first report.