DOH Form 646-125 Proof of Practice - Washington

DOH Form 646-125 Proof of Practice - Washington

What Is DOH Form 646-125?

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 646-125?
A: DOH Form 646-125 is the Proof of Practice form used in Washington.

Q: What is the purpose of DOH Form 646-125?
A: The purpose of DOH Form 646-125 is to provide proof of practice for healthcare professionals in Washington.

Q: Who needs to submit DOH Form 646-125?
A: Healthcare professionals practicing in Washington need to submit DOH Form 646-125.

Q: What information is required on DOH Form 646-125?
A: DOH Form 646-125 requires information such as the healthcare professional's name, license number, practice address, and dates of practice.

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Form Details:

  • Released on September 1, 2016;
  • 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 646-125 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 646-125 Proof of Practice - Washington

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