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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-671
for the current year.
DSHS Form 10-671 Intensive Habilitation Services for Children Certification Evaluation - Washington
What Is DSHS Form 10-671?
This is a legal form that was released by the Washington State Department of Social and Health Services - 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 DSHS Form 10-671?
A: DSHS Form 10-671 is the Intensive Habilitation Services for Children Certification Evaluation form.
Q: What is the purpose of DSHS Form 10-671?
A: The purpose of DSHS Form 10-671 is to evaluate and certify providers of Intensive Habilitation Services for Children in Washington.
Q: Who needs to complete DSHS Form 10-671?
A: Providers of Intensive Habilitation Services for Children in Washington need to complete DSHS Form 10-671.
Q: What information is required on DSHS Form 10-671?
A: DSHS Form 10-671 requires information about the provider's qualifications, experience, training, and the services they will provide.
Q: Is there a fee for submitting DSHS Form 10-671?
A: No, there is no fee for submitting DSHS Form 10-671.
Form Details:
- Released on August 1, 2022;
- The latest edition provided by the Washington State Department of Social and Health Services;
- 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 printable version of DSHS Form 10-671 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 10-671 Intensive Habilitation Services for Children Certification Evaluation - Washington
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