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Get and Sign Mg2 1  Form 2014-2022

Get and Sign Mg2 1 Form 2014-2022

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Approval(s) to VARY from the WCB Medical Treatment Guidelines as indicated below: 2. Guideline Reference: - (In first box, indicate injury and/or condition: K = Knee, S = Shoulder, B = Mid and Low Back, N = Neck, C = Carpal Tunnel, P = Non-Acute Pain. In remaining boxes, indicate corresponding section of WCB Medical Treatment Guidelines. If the treatment requested is not addressed by the Guidelines, in the remaining boxes use NONE.) Date of service of supporting medical in WCB case file...
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