As amended through December 17, 2024
Form 14b - Claim for Physician FeesClick here to view image
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.