This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 14-012 for the current year.
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.
Q: What is DSHS Form 14-012 Consent?
A: DSHS Form 14-012 Consent is a document used by the Washington State Department of Social and Health Services to obtain consent for medical treatment for children in their care.
Q: Who needs to fill out DSHS Form 14-012 Consent?
A: DSHS Form 14-012 Consent needs to be filled out by a legal guardian or authorized representative for a child in the custody of the Washington State Department of Social and Health Services.
Q: Why is DSHS Form 14-012 Consent necessary?
A: DSHS Form 14-012 Consent is necessary to ensure that medical treatment can be provided to a child under the care of the Washington State Department of Social and Health Services, with proper authorization.
Q: Can DSHS Form 14-012 Consent be revoked?
A: Yes, DSHS Form 14-012 Consent can be revoked by the legal guardian or authorized representative of the child, if circumstances change or if they no longer wish to provide consent for medical treatment.
Form Details:
Download a printable version of DSHS Form 14-012 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.