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DSHS Form 14-431 Medical / Dental Services Authorization - Washington (Somali)
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 Somali. 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 used in Washington State.
Q: Who is the form intended for?
A: The form is intended for individuals who need medical or dental services and are eligible for DSHS (Department of Social and Health Services) programs.
Q: What does the form authorize?
A: The form authorizes the DSHS to provide medical or dental services to the individual.
Q: Is this form available in other languages?
A: Yes, this specific form is available in the Somali language.
Form Details:
- Released on August 1, 2014;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of DSHS Form 14-431 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
