UT FLEX Letter of Medical Necessity Form | University of Texas System

UT FLEX Letter of Medical Necessity Form

UT FLEX Letter of Medical Necessity Form

Details

Release Date: 
September 1, 2016
Responsible Offices: 
Employee Benefits

Contact Info

Phone: 
(844) 887-3539

Related Info

UT System Links: 

Document Information

This form should be completed by the attending physician to confirm treatment is necessary for a specific medical condition.

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