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This form is used for requesting chronic opioid medication in the state of Washington.
This form is used for requesting prior authorization to exceed the three-day limit of opioids for dental procedures in the state of Washington.
This Form is used for requesting subacute opioids in the state of Washington. It is a request form that must be filled out to obtain subacute opioids for medical purposes.
This form is used for obtaining prior authorization for direct-acting antiviral medication for the treatment of Hepatitis C in the state of Washington.
This form is used for authorizing the release of information in the state of Washington.
This form is used for requesting prior authorization for the medication Lyrica (Pregabalin) in the state of Washington.
This type of document is an Authorization to Release Information form specific to the state of Washington. It allows individuals to provide consent for their information to be shared with a third party.
This form is used to authorize the release of information in the state of Washington, specifically for speakers of the Ilocano language.
This form is used to authorize the release of information in Washington. It is available in French.
This Form is used for requesting authorization to release information in the state of Washington, particularly for the Hmong community.
This Form is used for authorizing the release of information in Washington for individuals who identify as Mien.
This form is used for authorizing the release of information in Washington state. It is available in Polish language.
This form is used for authorizing the release of information in Washington. It is written in Portuguese.
This form is used to give permission for the release of information in Washington, specifically for the Somali community.
This form is used for negative pressure wound therapy in the state of Washington.
This form is used for reporting information related to occupational hearing loss in the state of Washington.
This form is used for documenting an individual's employment history related to hearing loss in the state of Washington.
This form is used for requesting authorization to release information in the state of Washington. It is available in Tagalog language.
This document is a Claims Suppression Complaint Form specifically designed for Washington residents who speak Somali. It allows individuals to report any instances of claims suppression they may have experienced.
This form is used for reporting stop work payroll information in the state of Washington. It is used to document any stoppages in work and provide details on the wages paid during that period.
This form is used for filing a civil rights complaint in the state of Washington.
This Form is used for filing a civil rights complaint in Washington state for individuals who speak Somali.
Formulario F270-001-999 Formulario De Queja De Derechos Civiles - Washington (Form for Civil Rights Complaint - Washington)
This Form is used for submitting a Training Application in Washington state, specifically for Option 2.
This form is used for creating an accountability agreement in the state of Washington.
This document is used to request and recommend information for on-the-job training in the state of Washington.
This form is used for applying for training programs in Washington state, specifically for Somali speakers.
This form is used for creating a vocational plan and on-the-job training agreement in the state of Washington. It helps establish a structured training program for individuals pursuing vocational education and skills development.