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Get Cshcn Service Program Wheelchair Seating Evaluation Form Pdf

Is available on the TMHP website at www.tmhp.com. Complete all sections of this form. Print or type all information. Contact the TMHP-CSHCN Services Program Contact Center at 1-512-514-3000, option 2, or 1-800-568-2413, Monday through Friday, from 7 a.m. to 7 p.m., Central Time, for assistance with this form. This form may be submitted by mail to the following address: TMHP-CSHCN Services Program Authorization Department 12357-B Riata Trace Parkway Ste #100 MC-A11 Austin, TX 7872.

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