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DCYF Form 15-005 Esit Health Care Referral Form - Washington
What Is DCYF Form 15-005?
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 15-005 Esit Health Care Referral Form?
A: The DCYF Form 15-005 Esit Health Care Referral Form is a document used in Washington to refer children to health care services.
Q: Who uses the DCYF Form 15-005 Esit Health Care Referral Form?
A: This form is used by the Department of Children, Youth, and Families (DCYF) in Washington.
Q: What is the purpose of the DCYF Form 15-005 Esit Health Care Referral Form?
A: The purpose of this form is to facilitate the referral of children to appropriate health care services.
Q: Do I need to fill out the DCYF Form 15-005 Esit Health Care Referral Form?
A: If you are a health care provider or an authorized entity referring a child to health care services in Washington, you may need to fill out this form.
Q: Is the DCYF Form 15-005 Esit Health Care Referral Form specific to Washington?
A: Yes, this form is specific to Washington and is used within the state.
Q: What information do I need to provide on the DCYF Form 15-005 Esit Health Care Referral Form?
A: You will need to provide detailed information about the child, including their name, date of birth, contact information, and the reason for the referral.
Q: Is there a deadline for submitting the DCYF Form 15-005 Esit Health Care Referral Form?
A: While there may not be a specific deadline mentioned, it is best to submit the form as soon as possible to ensure timely access to health care services for the child.
Q: Who should I contact if I have questions about the DCYF Form 15-005 Esit Health Care Referral Form?
A: If you have any questions about the form, you can contact the Department of Children, Youth, and Families (DCYF) in Washington for assistance.
Form Details:
- Released on March 1, 2020;
- The latest edition provided by the Washington State Department of Children, Youth, and Families;
- 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 fillable version of DCYF Form 15-005 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.
