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DSHS Form 10-455 Medical Log - Washington (Russian)
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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 10-455?
A: DSHS Form 10-455 is a medical log used in Washington state.
Q: What is the purpose of DSHS Form 10-455?
A: DSHS Form 10-455 is used to record medical information for individuals in Washington state.
Q: Who uses DSHS Form 10-455?
A: DSHS Form 10-455 is used by the Washington State Department of Social and Health Services.
Q: What information is recorded on DSHS Form 10-455?
A: DSHS Form 10-455 records information such as medical diagnoses, treatments, and medications.
Q: Is DSHS Form 10-455 available in Russian?
A: Yes, DSHS Form 10-455 is available in Russian for Russian-speaking individuals in Washington state.
Form Details:
- Released on August 1, 2012;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of DSHS Form 10-455 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
