Mc 13b medical form 2025

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The document is a Judicial Council form MC-350(A-13b(5)) used to provide information about medical service providers related to a petition for court approval of the compromise of a claim or action involving a minor or person with a disability. It requires details about providers with liens for medical charges or those paid by the petitioner, including amounts charged, paid, and any negotiated reductions. The form emphasizes the importance of privacy by instructing users to clear the form after use.

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2010	4.8 Satisfied (210 Votes)

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