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 Tagalog. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-012?
A: DSHS Form 14-012 is a consent form used in Washington.
Q: Who is the form for?
A: The form is for individuals in Washington who need to give their consent for certain purposes.
Q: What does the form cover?
A: The form covers a range of purposes, such as release of information, treatment, and communication.
Q: Is the form available in Tagalog?
A: Yes, the form is available in Tagalog for those who prefer to use that language.
Form Details:
Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.