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Get Attestation To Administer Alpha Hydroxyprogesterone Caproate (17p) Compound Injections And

ONE CAPROATE (17P) COMPOUND INJECTIONS AND INJECTIONS Instructions: Type or print clearly. Before completing this form, read the Attestation to Administer Alpha Hydroxyprogesterone Caproate (17P) Compound Injections and Injections Completion Instructions, F-00286A. Providers may refer to the Forms page of the ForwardHealth Portal at www.forwardhealth.wi.gov/WIPortal/Content/provider/forms/index.htm.spage for the completion instructions. Providers are required to keep a completed an.

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