Mg2 1 2014 form-2025

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The document is a continuation form (MG-2.1) for attending doctors to request approval for variances from the Workers' Compensation Board (WCB) Medical Treatment Guidelines. It outlines the necessary information and supporting medical evidence required for each variance request related to specific injuries or conditions. The form includes sections for medical necessity, health provider certification, carrier/employer responses, and claimant requests for review in case of denial.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (50 Votes)
2014	4.3 Satisfied (70 Votes)
2013	4 Satisfied (33 Votes)

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