Washington State Department of Health Forms

This document is used for disciplinary action and continuing education attestations for healthcare professionals in the state of Washington.

This form is used for applying for the Psychologist Co-occurring Disorder Enhancement in Washington.

This document is for dental hygienists in Washington who provide dental hygiene services in senior centers. It includes a practice plan and agreement for these services.

This document is used for applying for the Co-occurring Disorder Enhancement Application for Mental Health Counselors in Washington.

This document is used for applying for enhancements related to co-occurring disorders for independent clinical social workers in Washington.

This Form is used for applying for the enhancement of co-occurring disorder counselor status as an Agency Affiliated Counselor in Washington.

This form is used for submitting a Construction Review Application in Washington state.

This form is used by home care aides in Washington to apply for the activation of an expired certification.

This Form is used for verifying clinical hours and competency of Nursing Assistant-Registered (NAR) in Washington.

This form is used for declaring that you do not have a social security number in the state of Washington.

This type of document, DOH Form 669-381, is used for education verification for Nursing Technicians in Washington.

This document is used for maintaining employee training records in the state of Washington.

This Form is used for Ewic Wisdom Activity in Washington.

This Form is used for individuals in Washington who are seeking certification as an approved supervisor certified counselor.

This form is used for the Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) in Washington. It collects HIV and health status information for individuals seeking assistance with accessing pre-exposure prophylaxis (PrEP) medication.

This Form is used for providing information about health status and HIV for the Pre-Exposure Prophylaxis (PrEP) Drug Assistance Program. It is a confidential application form used in the state of Washington.

This document is for the agreement, disclosure of information, and assignment of benefits for the Pre-Exposure Prophylaxis (Prep Dap) Medication Assistance Program in Washington.

This document is for requesting confidential assistance with pre-exposure prophylaxis medication in Washington.

This document is for individuals applying for the Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) in Washington. It is used to obtain an agreement, release of information, and assignment of benefits for the program.

This form is used for the Pre-exposure Prophylaxis Drug Assistance Program (Prep Dap) in Washington. It is a confidential application for individuals seeking assistance with accessing pre-exposure prophylaxis (Prep) drugs.

This form is used for submitting a Spray Feature Plan Detail in Washington as part of the licensing process for pesticide application.

This document is used for submitting a detailed pool plan for a Spa facility in Washington.

This Form is used for requesting a benefit exception regarding the Washington State Department of Health's Dap program.

This document provides detailed information about the wading pool plan in Washington, including specifications, designs, and safety guidelines.

This Form is used for submitting detailed plans for swimming pools in the state of Washington.

This form is used for authorizing the disclosure of newborn sickle cell screening results in the state of Washington.

This document is a roster of live home births in the state of Washington. It provides information about the births that take place in the home setting, allowing for record-keeping and analysis of birth trends in the state.

This form is used for recording and reporting live births in Washington on a weekly basis.

This document is a health form for reporting health status and HIV information in Washington state.

This form is used for providing confidential application information related to HIV and health status in Washington's Early Intervention Program (EIP).

This form is used for submitting a confidential application to the Early Intervention Program (EIP) in Washington.

This document is an application packet for obtaining an audiologist license in the state of Washington. It includes all the necessary forms and instructions for completing the application process.

This document is an application form used in Washington for audiologists to activate an expired license.

This type of document is an application form for the Medical Marijuana Consultant Training Program in the state of Washington.

This form is used for applying for a market agreement under the WIC & Senior FMNP program in Washington.

This type of document is used for documenting and assessing the continuity of care in healthcare facilities during state surveys in Washington state.

This type of document is a confidential application form for new clients of the Early Intervention Program (EIP) in Washington.

This form is used for declaring the program director of a Nursing Assistant Alternative Training Program for Medical Assistant-Certified in the state of Washington.