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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F62608 (03/2017) STATE OF WISCONSIN Statutes 50.02(2) and 51.61(1)(i) WI Administrative Code DHS 94.10 REQUEST FOR USE OF MEDICAL RESTRAINTS
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Anyone who wishes to use a particular resource, facility, or service that requires formal approval or authorization.

What is Request for Use of Medical Restraints, F-62608 Form?

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Request for use of is a formal document submitted to obtain permission or approval to utilize a particular resource or service.
Any individual or organization who wishes to use a specific resource or service may be required to file a request for use of.
To fill out a request for use of, one must provide detailed information about the intended use of the resource or service, along with any necessary supporting documents.
The purpose of request for use of is to ensure proper authorization and documentation for the utilization of a resource or service.
The information that must be reported on request for use of may include the purpose of use, duration, location, any fees involved, and contact information.
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