This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.
The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form HCA13-711 Treatment Questionnaire - Washington (Korean)?
A: The purpose of this form is to gather information about the treatment required by an individual in Washington using the Korean language.
Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals in Washington who require treatment and can understand the Korean language.
Q: What information is required in the form?
A: The form requires information about the individual's personal details, medical history, current symptoms, and any previous treatments.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington and is provided in the Korean language for the convenience of Korean-speaking individuals in the state.
Form Details:
Download a printable version of Form HCA13-711 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.