This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 13-678 Page 1 for the current year.
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.
Q: What is DSHS Form 13-678?
A: DSHS Form 13-678 is a consent form for the nurse delegation process in Washington.
Q: What is nurse delegation?
A: Nurse delegation is a process allowing certain nursing tasks to be performed by trained non-nursing staff.
Q: Who needs to fill out DSHS Form 13-678?
A: The nurse and the client or the client's legal representative need to fill out the form.
Q: What information is required on DSHS Form 13-678?
A: The form requires information about the client, the tasks to be delegated, and the nurse and the delegate caregiver.
Q: Is DSHS Form 13-678 specific to Washington?
A: Yes, this form is specific to the state of Washington.
Q: Is nurse delegation process covered by insurance?
A: Coverage for nurse delegation services may vary depending on the individual's insurance plan. It is recommended to check with the insurance provider.
Q: Can a client refuse to participate in the nurse delegation process?
A: Yes, a client has the right to refuse nurse delegation services.
Form Details:
Download a printable version of DSHS Form 13-678 Page 1 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.