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 611-013?
A: DOH Form 611-013 is the Deeming Application form used in Washington state.
Q: Who needs to fill out DOH Form 611-013?
A: Healthcare professionals and facilities who want to be deemed in Washington state need to fill out DOH Form 611-013.
Q: What is the purpose of DOH Form 611-013?
A: The purpose of DOH Form 611-013 is to apply for deeming status in Washington state, which allows healthcare professionals and facilities to receive reimbursement under certain insurance programs.
Q: Is DOH Form 611-013 specific to Washington state?
A: Yes, DOH Form 611-013 is specific to Washington state. It is used for deeming applications in that state only.
Form Details:
Download a printable version of DOH Form 611-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.