PDF
Word
Form HCA13-711 Treatment Questionnaire - Washington (Russian)
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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of form HCA13-711 Treatment Questionnaire?
A: The purpose of form HCA13-711 Treatment Questionnaire is to gather information about a patient's treatment history in Washington.
Q: What language is this form available in?
A: This form is available in Russian.
Q: What information is asked in form HCA13-711 Treatment Questionnaire?
A: Form HCA13-711 Treatment Questionnaire asks for details about a patient's previous medical treatments and medications.
Q: Is this form only applicable for residents of Washington?
A: Yes, this form is specifically for residents of Washington.
Form Details:
- Released on September 1, 2021;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
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.
Download Form HCA13-711 Treatment Questionnaire - Washington (Russian)
1
2
