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Form HCA13-0031 Oral Health Connections Patient Attestation Form - Washington (Chinese Simplified)
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 Chinese Simplified. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form HCA13-0031?
A: The purpose of Form HCA13-0031 is to attest to a patient's oral health connections in Washington.
Q: Who is this form for?
A: This form is for patients in Washington who need to attest to their oral health connections.
Q: What information do I need to provide on Form HCA13-0031?
A: You need to provide your personal information, including your name, address, and contact details, as well as information about your oral health connections.
Q: Do I need to fill out this form in Chinese Simplified?
A: If you prefer, you can fill out this form in Chinese Simplified. However, English is also accepted.
Q: Is there a deadline for submitting this form?
A: There may be a deadline for submitting this form, so it's important to check with your healthcare provider or the Washington State Health Care Authority.
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.
