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DOL Home > Find It! By Form > DOL Form |
DOL Form CM-893
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 |