(MS use only) 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the PHYSICIAN INFORMATION section. Enter the Physician Name, Specialty, and DEA, NPI or TIN. Ensure all asterisked (*) items are completed for privacy compliance.
  3. Next, complete the PATIENT INFORMATION section. Fill in the Patient Name, Cigna ID, Date of Birth, and contact details including Phone and Address.
  4. Indicate the urgency of the request by selecting either 'Standard' or 'Urgent'. If urgent, confirm that applying standard review time may jeopardize health.
  5. In the Medication Requested section, select from the list of medications relevant to Multiple Sclerosis. Specify Dose and Quantity as well as Duration of therapy.
  6. Provide details regarding previous therapies under Clinical Information. Check any applicable drugs and document responses or intolerances experienced.
  7. Finally, review all entered information for accuracy before submitting your form via fax or online submission options provided.

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2020 4.8 Satisfied (141 Votes)
2020 4.3 Satisfied (108 Votes)
2020 4.3 Satisfied (70 Votes)
2020 4.4 Satisfied (64 Votes)
2016 4.2 Satisfied (34 Votes)
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Ms. (pronounced [miz]) is a neutral option that doesnt indicate any particular marital status. You can use it for any adult woman.
Miss should be used when addressing a young, unmarried woman. Most older women who are unmarried prefer to go by Ms., though this often comes down to personal preference. If you are unsure, it never hurts to ask!
What does Ms stand for? Ms is a title used before a womans name, much like Miss and Mrs Unlike those terms, it doesnt specify whether the woman is married or unmarried. Its used as an equivalent to the masculine Mr to refer to a woman without defining her by her marital status (e.g. Ms Gadd).
Understanding the difference between Miss, Mrs., Ms., and Mr. is key to addressing people politely in English. Miss is for unmarried women, Mrs. is for married women, Ms. works for women regardless of marital status, and Mr. is used for men. Master these titles to show respect and confidence in your conversations! --

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