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 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.
Form Details:
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.