Form HCA13-870 Limitation Extension Request Incontinent Supplies and Gloves - Washington

What Is Form HCA13-870?

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.

FAQ

Q: What is Form HCA13-870?
A: Form HCA13-870 is a Limitation Extension Request for Incontinent Supplies and Gloves in Washington.

Q: What does this form do?
A: This form is used to request an extension for the limitation on incontinent supplies and gloves in Washington.

Q: Who needs to fill out this form?
A: Individuals in Washington who require incontinent supplies and gloves and need an extension on the limitation must fill out this form.

Q: What information is required on this form?
A: The form requires personal information, medical condition details, and a statement explaining the need for the extension.

Q: Are there any fees associated with this request?
A: No, there are no fees associated with submitting this request.

Q: How long does the extension last?
A: The length of the extension granted will depend on the individual's medical condition and the evaluation by the healthcare authority.