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Is there a form for filing a request for a Medical Review Panel?

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Is there a form for filing a request for a Medical Review Panel?

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There is no form. The request may be made in letter or petition form. Back to top 12. What do I write as the heading for the petition? No specific heading is required. Back to top 13. Can my request be faxed? All requests for a Medical Review Panel that are faxed must be sent to the Commissioner of Administration at 225-342-1057. Any other fax number is incorrect. Back to top 14. How do I request a Certificate of Qualification or Certificate of Enrollment? A request for a certificates must be in writing. Phone requests will be denied. Back to top 15. What are the Commissioner of Administration’s hours of operation? The hours of operation for the Commissioner are 8:00am – 5:00pm. To reach the Medical Review Panel, you may call from 7:00am – 4:30pm. Back to top 16. Do I need to send addresses for the defendants? The location of where the incident occurred, as well as the date of the alleged incident, is important in determining if the health care provider is public or private.

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