Form H1263-A, Certification of Medical Necessity - Durable Medical Equipment or Other IME

Texas Health and Human Services

This government document is issued by Texas Health and Human Services for use in Texas

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File Details: PDF (144 KB)
Downloads: 32
Source
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-h1263-a-certification-medical-necessity-durable-medical-equipment-or-other-ime

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