DOH Form 340-221 Fax Referral Form - Washington

DOH Form 340-221 Fax Referral Form - Washington

What Is DOH Form 340-221?

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 340-221?
A: DOH Form 340-221 is a Fax Referral Form.

Q: Who uses DOH Form 340-221?
A: DOH Form 340-221 is used by healthcare providers in Washington.

Q: What is the purpose of DOH Form 340-221?
A: The purpose of DOH Form 340-221 is to submit a referral or consultation request via fax.

Q: Is DOH Form 340-221 mandatory to use?
A: The use of DOH Form 340-221 is not mandatory, but it is commonly used by healthcare providers in Washington for fax referrals.

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Form Details:

  • Released on October 1, 2020;
  • 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 fillable version of DOH Form 340-221 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 340-221 Fax Referral Form - Washington

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