DSHS Form 10-353 Documentation Request for Medical or Disability Condition - Washington

What Is DSHS Form 10-353?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-353?
A: DSHS Form 10-353 is a documentation request form for medical or disability condition in Washington.

Q: Who needs to fill out DSHS Form 10-353?
A: Individuals who are applying for or receiving assistance from the Washington State Department of Social and Health Services (DSHS) and have a medical or disability condition may need to fill out this form.

Q: What is the purpose of DSHS Form 10-353?
A: The purpose of this form is to gather medical or disability documentation from individuals applying for or receiving assistance from DSHS. The documentation is used to determine eligibility and the level of assistance needed.

Q: What information is required on DSHS Form 10-353?
A: The form requires information such as the applicant's name, contact information, medical or disability condition, healthcare provider details, and consent to release information.

Q: How should I submit DSHS Form 10-353?
A: You can submit the completed form by mail, fax, or in person to your local DSHS office. The submission instructions are provided on the form itself.

Q: Do I need to include any supporting documentation with DSHS Form 10-353?
A: Yes, you will need to include supporting documentation such as medical records, test results, or disability-related documents with the form. Please refer to the instructions on the form for specific requirements.

Q: What happens after I submit DSHS Form 10-353?
A: After you submit the form and supporting documentation, DSHS will review the information provided and make a determination regarding your eligibility and the level of assistance you may receive.

Q: Is there a deadline for submitting DSHS Form 10-353?
A: While there may not be a specific deadline mentioned on the form, it is generally recommended to submit the form and supporting documentation as soon as possible to avoid any delays in processing your application or benefits.

Q: What should I do if I have questions or need assistance with DSHS Form 10-353?
A: If you have questions or need assistance with DSHS Form 10-353, you can contact your local DSHS office or reach out to the Washington State Department of Social and Health Services directly.