DSHS Form 17-301 Medical Expense Examples - Washington

DSHS Form 17-301 Medical Expense Examples - Washington

What Is DSHS Form 17-301?

This is a legal form that was released by the Washington State Department of Social and Health Services - 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 DSHS Form 17-301?
A: DSHS Form 17-301 is a form used to report medical expenses to the Washington State Department of Social and Health Services.

Q: Who needs to complete DSHS Form 17-301?
A: Individuals who are applying for or receiving benefits from the Washington State Department of Social and Health Services may need to complete this form.

Q: What are medical expenses?
A: Medical expenses are costs related to healthcare services, treatments, medications, and medical supplies.

Q: Can I claim any medical expense on DSHS Form 17-301?
A: You can claim any qualifying medical expense that you have paid out of pocket on this form.

Q: What are some examples of medical expenses that can be claimed on DSHS Form 17-301?
A: Examples of medical expenses that can be claimed include doctor visits, hospital stays, prescription medications, medical equipment, and transportation to medical appointments.

Q: Are there any limitations on what medical expenses can be claimed?
A: Certain restrictions and limitations may apply to specific types of medical expenses. It is best to consult the instructions provided with the form or contact the Washington State Department of Social and Health Services for clarification.

Q: How do I submit DSHS Form 17-301?
A: You can submit the completed form by mail or in person to the Washington State Department of Social and Health Services office in your area.

Q: Is there a deadline for submitting DSHS Form 17-301?
A: The form should be submitted as soon as possible after incurring the medical expenses. Contact the Washington State Department of Social and Health Services for any specific deadlines or timeframes.

Q: What happens after I submit DSHS Form 17-301?
A: The Washington State Department of Social and Health Services will review your form and determine if the medical expenses qualify for reimbursement or assistance.

Q: Can I get help with completing DSHS Form 17-301?
A: Yes, you can get assistance with completing the form by contacting the Washington State Department of Social and Health Services or seeking help from a qualified social worker or healthcare professional.

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Form Details:

  • Released on November 1, 2020;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • 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 DSHS Form 17-301 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 17-301 Medical Expense Examples - Washington

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