23 CAR § 141-106

23 CAR § 141-106. Attestation or authorization form

Length: 45 wordsOfficial source
For services to be reviewed under 23 CAR § 141-104, the medical provider that is not on a nationally approved cleft-craniofacial team shall use the attestation or authorization form, which shall be designated as Wendelyn's Craniofacial Law Authorization Form as Exhibit A to this part.
23 CAR § 141-106: 23 CAR § 141-106. Attestation or authorization form | Justis AI