DOH Form 654-033 Audiologist Delegation of Supervision - Washington

DOH Form 654-033 Audiologist Delegation of Supervision - Washington

What Is DOH Form 654-033?

This is a legal form that was released by the Washington State Department of Health - 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 DOH Form 654-033?
A: DOH Form 654-033 is a form specific to Washington for the delegation of supervision of audiologists.

Q: What is the purpose of DOH Form 654-033?
A: The purpose of DOH Form 654-033 is to document the delegation of supervision for audiologists in Washington.

Q: Who needs to fill out DOH Form 654-033?
A: Audiologists in Washington who need to delegate supervision to another qualified individual need to fill out DOH Form 654-033.

Q: Are there any fees associated with DOH Form 654-033?
A: There are no fees associated with DOH Form 654-033.

Q: Are there any specific qualifications for the individual receiving supervision?
A: Yes, the individual receiving supervision must meet the qualifications outlined by the Washington Department of Health.

Q: How long is the delegation of supervision valid?
A: The delegation of supervision is valid for one year from the date of the form.

Q: Can the delegation of supervision be renewed?
A: Yes, the delegation of supervision can be renewed by submitting a new DOH Form 654-033.

Q: Is it mandatory to have the delegation of supervision form on file?
A: Yes, it is mandatory to have the delegation of supervision form on file for each individual being supervised.

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Form Details:

  • Released on August 1, 2011;
  • The latest edition provided by the Washington State Department of Health;
  • 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 printable version of DOH Form 654-033 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 654-033 Audiologist Delegation of Supervision - Washington

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