DCYF Form 13-001A Applicant Medical Self Report - Confidential - Washington (English / Marshallese)

What Is DCYF Form 13-001A?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 DCYF Form 13-001A?
A: DCYF Form 13-001A is a medical self-report form used by applicants in Washington. It is available in both English and Marshallese.

Q: What is the purpose of DCYF Form 13-001A?
A: The purpose of DCYF Form 13-001A is for applicants to provide their medical information in a confidential manner to the Department of Children, Youth, and Families (DCYF) in Washington.

Q: Who uses DCYF Form 13-001A?
A: Applicants in Washington, who are applying for services or employment with the Department of Children, Youth, and Families (DCYF), use DCYF Form 13-001A.

Q: What information is included in DCYF Form 13-001A?
A: DCYF Form 13-001A includes information about the applicant's medical history, conditions, medications, and any disabilities or limitations.

Q: Is DCYF Form 13-001A available in languages other than English?
A: Yes, DCYF Form 13-001A is available in both English and Marshallese.

Q: Is DCYF Form 13-001A confidential?
A: Yes, DCYF Form 13-001A is a confidential form. The medical information provided by applicants is kept confidential by the Department of Children, Youth, and Families (DCYF).