DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 10-489 for the current year.

DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

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.

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Download DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

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