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01. Edit your sce medical baseline form online
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Send does cpap qualify for sce medical baseline via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out medical baseline with our platform
- Click ‘Get Form’ to open the Medical Baseline Allowance Application in the editor.
- Begin with Part I, filling in your SCE Customer Account Number and Service Account Number. Ensure that the name matches what appears on your bill.
- Provide the service address and mailing address if different. Include your home and alternate phone numbers for contact purposes.
- If applicable, complete the section for customers billed by someone other than SCE, including details about the mobile home or apartment complex.
- In the SCE Medical Baseline Alternate Contact Information section, select your preferred method of receiving outage notifications and provide necessary contact details.
- Review the customer understanding section carefully, ensuring you agree to all terms before signing and dating the application.
- For Part II, have a licensed medical doctor complete their section, certifying your medical condition and needs. Ensure they sign and date it as well.
Start using our platform today to easily fill out your Medical Baseline Allowance Application for free!
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