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Preauthorization Request Form
This Hyperhidrosis Preauthorization Request Form may be used to notify an insurance
organization that you’ve been diagnosed with hyperhidrosis and to demonstrate the degree
to which your life is negatively affected by excessive sweating. There is also space on
the form for your physician to note treatments that you’ve already tried and the next
treatment that he or she is recommending. The form should be completed and submitted
to the appropriate health insurance organization by your treating physician.
You can help your doctor by printing the form and taking it to your next appointment.
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Find a doctor who treats excessive sweating. |
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