Originating Site Facilitation Fee Invoice (sample)

Department of Health and Social Services

This government document is issued by Department of Health and Social Services for use in Alaska

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File Details: PDF (33 KB)
Downloads: 20
Source
http://dhss.alaska.gov/dsds/Documents/SDSforms/Tele-01_TelehealthOriginatingSiteFacilitationFee-Invoice.pdf

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