Supporting Statement A_Preauthorization Request for Payment of Bowel Bladder Services_10-314a 10-314b_2900-NEW_updated Feb 2023

Supporting Statement A_Preauthorization Request for Payment of Bowel Bladder Services_10-314a 10-314b_2900-NEW_updated Feb 2023.docx

Preauthorization and Request for Payment of Bowel and Bladder Services (VA Forms 10-314a and 10-314b)

OMB: 2900-0924