DOH Form 422-064 Attending Physician's Compliance Form - Washington

DOH Form 422-064 Attending Physician's Compliance Form - Washington

What Is DOH Form 422-064?

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 422-064?
A: DOH Form 422-064 is the Attending Physician's Compliance Form.

Q: What is the purpose of DOH Form 422-064?
A: The purpose of DOH Form 422-064 is to ensure compliance with Washington state's regulations regarding attending physician oversight.

Q: Who is required to complete DOH Form 422-064?
A: The attending physician is required to complete DOH Form 422-064.

Q: When should DOH Form 422-064 be completed?
A: DOH Form 422-064 should be completed when there is a change in the attending physician's oversight responsibilities.

Q: Is DOH Form 422-064 specific to Washington state?
A: Yes, DOH Form 422-064 is specific to Washington state and its regulations.

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Form Details:

  • Released on June 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 422-064 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 422-064 Attending Physician's Compliance Form - Washington

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