This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-525?
A: DSHS Form 14-525 is the Incapacity Review for Medical Care Services form in Washington.
Q: What is the purpose of DSHS Form 14-525?
A: The purpose of DSHS Form 14-525 is to determine if an individual meets the criteria for incapacity and is eligible to receive medical care services in Washington.
Q: Who needs to complete DSHS Form 14-525?
A: Individuals who apply for or receive medical care services in Washington and may have an incapacity need to complete DSHS Form 14-525.
Q: Can DSHS Form 14-525 be completed in languages other than Arabic?
A: Yes, DSHS Form 14-525 is available in multiple languages, including Arabic.
Q: What should I do if I need help completing DSHS Form 14-525?
A: If you need help completing DSHS Form 14-525, you can contact the Washington State Department of Social and Health Services for assistance.
Form Details:
Download a printable version of DSHS Form 14-525 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.