DCYF Form 13-001 Applicant Medical Report - Confidential - Washington (English / Vietnamese)

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DCYF Form 13-001 Applicant Medical Report - Confidential - Washington (English / Vietnamese)

What Is DCYF Form 13-001?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 the DCYF Form 13-001?
A: DCYF Form 13-001 is an Applicant Medical Report that is used for confidential medical information related to an applicant in Washington.

Q: Who can fill out the DCYF Form 13-001?
A: The DCYF Form 13-001 should be filled out by the applicant's healthcare provider or physician.

Q: What is the purpose of the DCYF Form 13-001?
A: The purpose of the DCYF Form 13-001 is to gather confidential medical information about the applicant for the Washington Department of Children, Youth, and Families (DCYF) evaluation and assessment process.

Q: Is the DCYF Form 13-001 available in multiple languages?
A: Yes, the DCYF Form 13-001 is available in English and Vietnamese.

Q: What should be included in the DCYF Form 13-001?
A: The DCYF Form 13-001 should include the applicant's personal information, medical history, immunization records, current medications, and any physical or mental health conditions.

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Form Details:

  • Released on November 1, 2020;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DCYF Form 13-001 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

Download DCYF Form 13-001 Applicant Medical Report - Confidential - Washington (English / Vietnamese)

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