DSHS Form 14-525 Incapacity Review for Medical Care Services - Washington

DSHS Form 14-525 Incapacity Review for Medical Care Services - Washington

What Is DSHS Form 14-525?

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 14-525?
A: DSHS Form 14-525 is a document used for Incapacity Review for Medical Care Services in Washington.

Q: What is the purpose of DSHS Form 14-525?
A: The purpose of DSHS Form 14-525 is to review an individual's incapacity for receiving medical care services.

Q: Who uses DSHS Form 14-525?
A: DSHS Form 14-525 is used by individuals in Washington who are applying for or receiving medical care services.

Q: What information is required on DSHS Form 14-525?
A: DSHS Form 14-525 requires information about the individual's medical history, current health status, and any disabilities or limitations.

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Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Arabic;
  • 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 14-525 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 14-525 Incapacity Review for Medical Care Services - Washington

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