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Form HCA13-666 Orthodontic Information Authorization Form - Washington
What Is Form HCA13-666?
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 HCA13-666?
A: Form HCA13-666 is the Orthodontic Information Authorization Form for Washington.
Q: What is the purpose of Form HCA13-666?
A: The purpose of Form HCA13-666 is to authorize the release of orthodontic information in Washington.
Q: Is Form HCA13-666 specific to Washington?
A: Yes, Form HCA13-666 is specific to Washington and may not be applicable in other states.
Q: Do I need to fill out Form HCA13-666 to receive orthodontic treatment in Washington?
A: Yes, you may need to fill out Form HCA13-666 to authorize the release of your orthodontic information to healthcare providers or insurance companies in Washington.
Form Details:
- Released on January 1, 2022;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form HCA13-666 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
Download Form HCA13-666 Orthodontic Information Authorization Form - Washington
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