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Authorization & Referral Requests

Chemotherapy

Durable Medical Equipment (DME)

Hearing Aids

Home Health

Submitted to FamilyCare by Home Health vendor.

Hospice

Submitted to FamilyCare by Hospice provider.

Infusion Therapy

Injections

Primary Care Provider to Specialist (PCP)

Prosthetic/Orthotic Services

Radiation Therapy

Specialist to Specialist

Specialist Surgery or Additional Visit Request

Therapy

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If you have any questions please contact us at:
Phone: (503) 228-8228 Option 3
or (800) 684-3799 Option 3B
Fax: (503) 345-5770 or (800) 270-7737