DOH Form 422-065 Consulting Physician's Compliance Form - Washington

What Is DOH Form 422-065?

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 the DOH Form 422-065?
A: The DOH Form 422-065 is the Consulting Physician's Compliance Form.

Q: What is the purpose of the Consulting Physician's Compliance Form?
A: The purpose of the form is to ensure compliance with Washington state regulations regarding consulting physicians.

Q: Who needs to fill out the form?
A: Consulting physicians need to fill out the form.

Q: What information is required on the form?
A: The form requires information about the consulting physician, the patient, and the consulting medical facility.

Q: Are there any fees associated with the form?
A: No, there are no fees associated with submitting the form.

Q: What happens after the form is submitted?
A: The form is reviewed by the Department of Health to ensure compliance. If approved, the consulting physician can continue practicing.

Q: Are there any consequences for not submitting the form?
A: Failure to submit the form may result in disciplinary action or loss of the consulting physician's privileges.

Q: How often does the form need to be submitted?
A: The form needs to be submitted every two years.