RAP Mobility & Functional Support Products 2025

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The document is a Direct Order Form for requesting mobility and functional support products under the Rehabilitation Appliances Program (RAP). It outlines the process for providers to order items, including the need for clinical justification for prior approval items. The form requires personal information of the entitled person and details about their care situation, along with a certification from the provider regarding clinical assessment.

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2020	4.8 Satisfied (101 Votes)
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