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Prescription Drug ProgramExpedited Authorization Codes and Criteria Table What is new in this version of the expedited authorization list? Effective for dates of service on and after May 1, 2017,
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Point by point, here is how to fill out an effective form for dates:
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Start by writing down the current date in the designated space on the form. This is usually found at the top of the form and is important for record-keeping purposes.
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Next, indicate the specific period you are referring to in the form. This could be a range of dates, such as "From" and "To" dates, or it could be a single date that you need to provide. Be sure to accurately enter the dates in the format requested on the form, such as mm/dd/yyyy or dd/mm/yyyy.
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Consider using additional supporting documentation for the dates if necessary. For example, if you are filling out a form related to employment, you may need to attach pay stubs or other proof of income for the specified period. Make sure to follow any instructions provided regarding supplemental materials.
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Overall, anyone who needs to document specific dates or periods of time accurately should be familiar with how to fill out an effective form for dates. It is crucial to provide this information with precision and attention to detail to ensure the form is complete and useful for the intended purpose.
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