DSHS Form 14-431 Medical / Dental Services Authorization (Voluntary Placement Services) (Developmental Disabilities Administration) - Washington

What Is DSHS Form 14-431?

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 14-431?
A: DSHS Form 14-431 is a medical/dental services authorization form for Voluntary Placement Services under the Developmental Disabilities Administration in Washington.

Q: Who is this form for?
A: This form is for individuals receiving Voluntary Placement Services under the Developmental Disabilities Administration in Washington.

Q: What is the purpose of DSHS Form 14-431?
A: The purpose of this form is to authorize medical and dental services for individuals receiving Voluntary Placement Services.

Q: Do I need to fill out this form?
A: If you or your family member is receiving Voluntary Placement Services under the Developmental Disabilities Administration, you may need to fill out this form to authorize medical and dental services.

Q: What information is required on DSHS Form 14-431?
A: The form requires information about the individual receiving services, the authorized providers, and the services being authorized, among other details.

Q: Is there a deadline to submit this form?
A: The form should be submitted as soon as possible to ensure timely authorization of medical and dental services.

Q: Can I make changes to an already submitted form?
A: You may be able to make changes to an already submitted form by contacting the appropriate authority. It is best to consult with the Developmental Disabilities Administration for guidance.

Q: Are there any fees associated with this form?
A: There are no fees associated with submitting DSHS Form 14-431.