Last Update: 9/28/2005 (Transmittal I-2-68)
HA 01250.090 Sample – Medical
Development Letter to Medical Source
Renumbered from HALLEX section I-2-5-90
The access this document go to DGS and click on the “CE
and Evidence Request” tab, then click on the “Request
for Medical Evidence from Doctor” or “Request for Medical
Evidence from a Hospital” tab.