Authorization
for Services Form
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 In
order to be able to print the Authorization
for Services form, you will need to have
the Adobe Acrobat Reader® installed on your
computer. If you do not already have the reader
you can download a free copy from Adobe by clicking
on the Acrobat icon. Be patient. PDF
files take a while to load.
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To
use occupational medicine, substance abuse testing or
worker injury services, you need to set up an account.
For
assistance, please call, Business Health Services Marketing
and Sales.
Florida
Hospital Corporate Sales
901 North Lake Destiny Road
Suite 400
Maitland, FL 32751-4890
PHONE: (407) 200-2300, Ext. 2845
FAX: (407) 200-1363
email:
FH CC Business
Health Services
For an Authorization for Services form, click here
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