Rep Files

These files are for the exclusive use of Authorized Representatives
of Medical Finance Resources Inc. only. Any other use including
viewing or downloading is a violation of Federal Law.

• General Surgery Binder
• Podiatry Binder
• Orthopedics Binder
• CMS-848 Medical Necessity (TENS)
• NC DMA Request for Prior Approval CMN/PA
• DMEPOS Product(s) Dispensing and Setup Form
• Patient Information Form
• Proof of Delivery 2014 Form
• Hospital Poster for Floor Nurses (large file)
• MFR - TENS Medical Necessity Form
• HHS - TENS Medicare CMN Form
• Generic MD Prescription Form

(Some files contain blank pages to allow for duplex printing.)