This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HCA58-005?
A: Form HCA58-005 is the Practitioner Endorsement Registration Form.
Q: What is the purpose of Form HCA58-005?
A: The purpose of Form HCA58-005 is to register practitioners for endorsement in the state of Washington.
Q: Who needs to fill out Form HCA58-005?
A: Practitioners who wish to obtain endorsement in Washington need to fill out Form HCA58-005.
Q: What information is required on Form HCA58-005?
A: Form HCA58-005 requires information such as personal details, education and training, work history, and references.
Q: What happens after I submit Form HCA58-005?
A: Once Form HCA58-005 is submitted, it will be reviewed by the Washington State Department of Health. If approved, the practitioner will receive their endorsement.
Q: Can I track the status of my Form HCA58-005?
A: Yes, you can track the status of your Form HCA58-005 by contacting the Washington State Department of Health.
Q: Is Form HCA58-005 only for practitioners in Washington?
A: Yes, Form HCA58-005 is specifically for practitioners seeking endorsement in the state of Washington.
Form Details:
Download a printable version of Form HCA58-005 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.