Form HCA13-0031 Oral Health Connections Patient Attestation Form - Washington (Lao)

Form HCA13-0031 Oral Health Connections Patient Attestation Form - Washington (Lao)

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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the HCA13-0031 Oral Health Connections Patient Attestation Form?
A: The HCA13-0031 Oral Health Connections Patient Attestation Form is a document used in Washington to certify that a patient is eligible for oral health services.

Q: Who uses the HCA13-0031 Oral Health Connections Patient Attestation Form?
A: The HCA13-0031 Oral Health Connections Patient Attestation Form is used by patients in Washington who are seeking oral health services.

Q: What does the HCA13-0031 Oral Health Connections Patient Attestation Form certify?
A: The HCA13-0031 Oral Health Connections Patient Attestation Form certifies that the patient meets the eligibility requirements for oral health services.

Q: Is the HCA13-0031 Oral Health Connections Patient Attestation Form available in languages other than English?
A: Yes, the form is available in multiple languages, including Lao.

Q: What is the purpose of the HCA13-0031 Oral Health Connections Patient Attestation Form?
A: The purpose of the form is to ensure that patients meet the eligibility requirements for oral health services in Washington.

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Form Details:

  • Released on December 1, 2018;
  • 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 HCA13-0031 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-0031 Oral Health Connections Patient Attestation Form - Washington (Lao)

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