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DSHS Form 14-431 Medical / Dental Services Authorization - Washington (Lao)
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 Lao. 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 in Washington (Lao).
Q: What is the purpose of DSHS Form 14-431?
A: The purpose of DSHS Form 14-431 is to authorize medical and dental services in Washington (Lao).
Q: Who needs to complete DSHS Form 14-431?
A: This form needs to be completed by individuals who require medical or dental services in Washington (Lao).
Q: What information is required on DSHS Form 14-431?
A: The form requires information such as the individual's name, contact information, healthcare provider details, and the services being authorized.
Q: Are there any specific instructions for completing DSHS Form 14-431?
A: Yes, the form provides instructions on how to complete each section accurately.
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.
