DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington

DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington

What Is DOH Form 645-141?

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 645-141?
A: The DOH Form 645-141 is the Practice Plan and Agreement for Dental Hygiene Services in Senior Centers in Washington.

Q: What is the purpose of DOH Form 645-141?
A: The purpose of DOH Form 645-141 is to outline the practice plan and agreement for dental hygiene services in senior centers.

Q: Who uses DOH Form 645-141?
A: Dental hygienists providing services in senior centers in Washington use DOH Form 645-141.

Q: What does DOH Form 645-141 include?
A: DOH Form 645-141 includes details about the dental hygienist, the senior center, the services to be provided, and the agreement between the parties.

Q: Is DOH Form 645-141 specific to Washington?
A: Yes, DOH Form 645-141 is specific to dental hygiene services in senior centers in Washington.

ADVERTISEMENT

Form Details:

  • Released on June 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 645-141 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington

4.3 of 5 (18 votes)
  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington

    1

  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 2

    2

  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 3

    3

  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 4

    4

  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 1
  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 2
  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 3
  • DOH Form 645-141 Practice Plan and Agreement for Dental Hygiene Services in Senior Centers - Washington, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT