DSHS Form 17-063 Authorization - Washington

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DSHS Form 17-063 Authorization - Washington

What Is DSHS Form 17-063?

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 17-063?
A: DSHS Form 17-063 is an authorization form used by the Washington State Department of Social and Health Services.

Q: What is the purpose of DSHS Form 17-063?
A: The purpose of DSHS Form 17-063 is to authorize the release of confidential information to the Washington State Department of Social and Health Services.

Q: Who needs to use DSHS Form 17-063?
A: Individuals who want to grant permission for their confidential information to be released to the Washington State Department of Social and Health Services may need to use DSHS Form 17-063.

Q: What type of information can be authorized for release using DSHS Form 17-063?
A: DSHS Form 17-063 can be used to authorize the release of various types of confidential information, such as medical records, income information, and personal history information.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Korean;
  • 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 17-063 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 17-063 Authorization - Washington

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