DOH Form 422-186 Authorized Representative - Washington

What Is DOH Form 422-186?

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 422-186 Authorized Representative?
A: DOH Form 422-186 Authorized Representative is a document used in the state of Washington to designate an authorized representative to act on behalf of an individual or entity with regards to healthcare matters.

Q: Who can use DOH Form 422-186 Authorized Representative?
A: Any individual or entity in the state of Washington can use DOH Form 422-186 Authorized Representative to designate an authorized representative for healthcare matters.

Q: What is the purpose of DOH Form 422-186 Authorized Representative?
A: The purpose of DOH Form 422-186 Authorized Representative is to allow an individual or entity to designate someone else to make healthcare decisions or access health information on their behalf.

Q: How do I fill out DOH Form 422-186 Authorized Representative?
A: To fill out DOH Form 422-186 Authorized Representative, you need to provide your personal information, the information of the authorized representative you are designating, and any specific instructions or limitations you want to include.