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DOH Form 430-024 Early Intervention Program (Eip) Confidential Application for Current or Returning Clients - Washington
What Is DOH Form 430-024?
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 430-024?
A: The DOH Form 430-024 is the Early Intervention Program (EIP) Confidential Application for Current or Returning Clients.
Q: What is the purpose of the EIP Confidential Application?
A: The purpose of the EIP Confidential Application is to apply for or request continuation of services in the Early Intervention Program.
Q: Who is this form for?
A: This form is for current or returning clients of the Early Intervention Program.
Q: Is this form confidential?
A: Yes, the EIP Confidential Application is confidential.
Q: Do I need to fill out this form if I am a new client?
A: No, this form is only for current or returning clients of the Early Intervention Program.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Available in Spanish;
- 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 430-024 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 430-024 Early Intervention Program (Eip) Confidential Application for Current or Returning Clients - Washington
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