Form DOC13-578 Patient Appeal of Care Review Committee Decision - Washington

Form DOC13-578 Patient Appeal of Care Review Committee Decision - Washington

What Is Form DOC13-578?

This is a legal form that was released by the Washington State Department of Corrections - 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 DOC13-578?
A: DOC13-578 is a form used for a Patient Appeal of Care Review Committee Decision in Washington.

Q: What is the purpose of the form?
A: The purpose of the form is to appeal a decision made by the Care Review Committee regarding patient care.

Q: Who can use this form?
A: This form can be used by patients or their authorized representatives.

Q: What information is required on the form?
A: The form requires information such as the patient's name, date of birth, the Care Review Committee decision being appealed, and the reasons for the appeal.

Q: Is there a deadline for submitting the form?
A: Yes, the form must be submitted within 30 days of receiving the Care Review Committee decision.

Q: What happens after the form is submitted?
A: After the form is submitted, the appeal will be reviewed by the appropriate authorities and a decision will be made.

Q: Can I include supporting documents with the form?
A: Yes, you can include supporting documents that you believe will help support your appeal.

Q: What are the possible outcomes of the appeal?
A: The possible outcomes of the appeal include upholding the original decision, reversing the decision, or modifying the decision.

Q: Can I seek legal representation for my appeal?
A: Yes, you have the right to seek legal representation for your appeal if you choose to do so.

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Form Details:

  • Released on January 9, 2020;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 Form DOC13-578 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC13-578 Patient Appeal of Care Review Committee Decision - Washington

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