DOH Form 611-013 Deeming Application - Washington

DOH Form 611-013 Deeming Application - Washington

What Is DOH Form 611-013?

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 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.

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Form Details:

  • Released on October 1, 2018;
  • 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 611-013 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 611-013 Deeming Application - Washington

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