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.
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.
Form Details:
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.