R. Invo. Comm. Treat. Pers. Subst. Disord., r. 13.35, form 14b

As amended through December 17, 2024
Form 14b - Claim for Physician Fees

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R. Invo. Comm. Treat. Pers. Subst. Disord., r. 13.35, form 14b

Court Order August 17, 2022, effective 11/1/2022; court order April 29, 2024, effective 7/1/2024.