AUTHORIZATION TO INSPECT AND-OR COPY MEDICAL RECORDS Forms
| Form Name | AUTHORIZATION TO INSPECT AND-OR COPY MEDICAL RECORDS |
| Form # | WC-43-AI |
| Form Revision | (01-23) |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Missouri |
| Language | English |
| State Description | An authorization form to inspect and/or copy medical records pertaining to a workers’ compensation case. |
| Claimwire Description | n/a |