Washington State Department of Health Forms

This Form is used for requesting approval to remodel a Behavioral Health Agency in the state of Washington.

This Form is used for applying for a registration to handle and distribute drugs or other controlled substances in Washington state.

This Form is used for requesting the cancellation of a voluntary certification in the state of Washington. It allows individuals or organizations to voluntarily revoke their certification.

This form is used for Tribal Behavioral Health Agencies in Washington to attest their compliance with regulations for Substance Use Disorder Services, Mental Health Services, and Licensure.

This form is used for applying for a Behavioral Health Agency License in the state of Washington.

This document is used for applying for a Tribal Attestation Behavioral Health Agency License in Washington state.

This Form is used for submitting a deeming application in Washington state.

This document is used for registering an account with the Washington State Cancer Registry Web Plus system.

This document is for applying for a license to operate a residential treatment facility in Washington.

This Form is used for activating an expired veterinarian license in the state of Washington. It is a packet of documents and information required for the license reactivation process.

This document is used for applying for a veterinary specialty license in Washington state.

This document is for individuals applying for a veterinary license in Washington state. It includes the necessary forms and information required for the application process.

This document is used for changing the status of credentials in Washington state. It is called DOH Form 505-133 Credential Status Change Form.

This form is used for applying for blood establishment registration in Washington state.

This document is for dietitians and nutritionists in Washington who need to activate their expired certification. It includes all the necessary forms and instructions to complete the application process.

This document is used for applying for certification as a dietitian or nutritionist in the state of Washington. It contains the necessary forms and information required for the application process.

This form is used for tracking blood pressure in Washington, and it is available in Korean language.

This form is used for tracking blood pressure in Washington state. It is available in the Khmer language.

This Form is used for filing claims in the Farmers Market Nutrition Program in Washington.

This form is used for verifying the credentials of out-of-state optometrists in Washington state.

This form is used for optometrists in Washington to apply for certification to prescribe and administer diagnostic, therapeutic, and oral drugs in their practice.

This Form is used for registering technicians specializing in limited scope X-Ray in the state of Washington.

This form is used for verifying out-of-state credentials in Washington.

This form is used for tracking blood glucose levels in Washington state.

This form is used for requesting fetal death certificates by mail in Washington.

This Form is used for asserting parentage in the state of Washington.

This document is for applying for provisional certification as a home care aide in Washington state.

This Form is used for filing a surrogate birth in the state of Washington.

This form is used for certified behavior technicians in Washington to provide attestation of their qualifications.

This Form is used for attesting completion of continuing education requirements in the state of Washington.

This document is a request to destroy leftover samples collected during newborn screening in the state of Washington.

This Form is used for verifying social worker supervised postgraduate experience in the state of Washington.

This Form is used for creating and submitting a plan of correction for healthcare facilities in Washington that have faced non-compliance issues during inspections.

This Form is used for updating employment information for individuals with hearing and speech disabilities in the state of Washington.

This form is used for attesting to hearing and speech abilities in the state of Washington.