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DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Chinese)
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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 10-489?
A: DSHS Form 10-489 is the Confidential Health Information Consent Agreement in Washington.
Q: What does the form consent to?
A: The form consents to the release of confidential health information.
Q: Who is the form for?
A: The form is for individuals in Washington who wish to authorize the release of their confidential health information.
Q: Is the form available in Chinese?
A: Yes, the form is available in Chinese.
Form Details:
- Released on April 1, 2019;
- 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 10-489 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Chinese)
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