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SPECIAL AUTHORITY REQUESTROMOSOZUMAB
HATH 5853 Rev. 2023/12/05For update criteria and forms, please check: www.gov.bc.ca/pharmacarespecialauthority
Fax requests to 18006094884 (toll-free) OR mail
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What is hlth 5853 rev?
HLTH 5853 REV is a form used for reporting specific health-related information as required by the regulatory authority.
Who is required to file hlth 5853 rev?
Entities or individuals who provide certain health services or products and meet the specified criteria set by the regulatory authority are required to file HLTH 5853 REV.
How to fill out hlth 5853 rev?
To fill out HLTH 5853 REV, complete the designated sections with accurate information as requested, ensuring all fields are filled out according to the provided guidelines.
What is the purpose of hlth 5853 rev?
The purpose of HLTH 5853 REV is to collect data related to health services, assess compliance with health regulations, and facilitate oversight by health authorities.
What information must be reported on hlth 5853 rev?
Reported information on HLTH 5853 REV typically includes service provider details, types of services provided, patient data, and financial information related to health services.
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