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Rhode Island Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple pages. Please

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What is section c previous?

Section C previous refers to a section of a form where previous information is required to be reported.

Who is required to file section c previous?

Individuals or entities with relevant previous information are required to file section C previous.

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Section C previous should be filled out by providing accurate and complete information as requested in the form.

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The purpose of section C previous is to provide a record of relevant previous information for regulatory or tracking purposes.

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Information such as previous transactions, activities, or events that are deemed relevant must be reported on section C previous.

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