Form 3706, Nursing Facility Customized Power Wheelchair (CPWC) Authorization

Texas Health and Human Services

This government document is issued by Texas Health and Human Services for use in Texas

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File Details: PDF (117 KB)
Downloads: 7
Source
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3706-nursing-facility-customized-power-wheelchair-cpwc-authorization

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