DOL Form CM-893

View OWCP-DCMWC's Form CM-893 Online htm
Agency: OWCP-DCMWC
Title: CM-893, Certificate of Medical Necessity
Form Description: CM-893, Certificate of Medical Necessity: The CM-893 form is a prescription for durable medical equipment, for home nursing care, or for pulmonary rehabilitation services and is completed by the medical provider. All required objective testing must be included.
OMB Control Number: 1240-0024