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COMMUNICABLE DISEASE UNIT PRIOR AUTHORIZATION FORM Submit prior authorizations by fax to 3077777382 Today's date: Facility requesting service:Proposed date of service: Case Manager:Sounded number:Phone:Fax:TREATMENT
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The communicable disease unit prior is a form that outlines information about a communicable disease.
Healthcare providers and facilities are required to file the communicable disease unit prior.
The communicable disease unit prior can be filled out online or by submitting a paper form.
The purpose of the communicable disease unit prior is to track and monitor the spread of communicable diseases.
Information such as the type of disease, patient demographics, and treatment information must be reported on the communicable disease unit prior.
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