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DSHS Form 14-462 Epilepsy Verification Request - Washington
What Is DSHS Form 14-462?
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.
FAQ
Q: What is DSHS Form 14-462?
A: DSHS Form 14-462 is the Epilepsy Verification Request form used in Washington.
Q: What is the purpose of DSHS Form 14-462?
A: The purpose of DSHS Form 14-462 is to request verification of an individual's epilepsy condition in order to qualify for certain services or benefits.
Q: Who can use DSHS Form 14-462?
A: Anyone in Washington who has epilepsy and needs to verify their condition for eligibility purposes can use DSHS Form 14-462.
Q: What information do I need to provide on DSHS Form 14-462?
A: You will need to provide your personal information, medical history related to epilepsy, and any supporting documentation or medical records.
Form Details:
- Released on November 1, 2017;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 14-462 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
