DOH Form 670-128 Mental Health Counselor Associate Supervision and Experience Verification - Washington

DOH Form 670-128 Mental Health Counselor Associate Supervision and Experience Verification - Washington

What Is DOH Form 670-128?

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 670-128?
A: DOH Form 670-128 is a form used for Mental Health Counselor Associate Supervision and Experience Verification in Washington.

Q: Who is required to fill out this form?
A: Mental Health Counselor Associates in Washington are required to fill out this form.

Q: What is the purpose of this form?
A: The purpose of this form is to verify the supervision and experience of Mental Health Counselor Associates in Washington.

Q: What information is required on this form?
A: This form requires information about the supervision received by the Mental Health Counselor Associate, as well as details about their experience.

Q: Are there any additional documents required with this form?
A: Yes, additional documents such as supervision agreements and experience logs may be required to be submitted along with DOH Form 670-128.

Q: Who can I contact for more information about this form?
A: For more information about DOH Form 670-128, you can contact the Washington State Department of Health.

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Form Details:

  • Released on December 1, 2010;
  • 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 670-128 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 670-128 Mental Health Counselor Associate Supervision and Experience Verification - Washington

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