Form F245-478-000 Musculoskeletal Surgeon's Supplemental Provider Application for the Surgical Quality Care Program - Washington

What Is Form F245-478-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - 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 the Form F245-478-000?
A: Form F245-478-000 is a Musculoskeletal Surgeon's Supplemental Provider Application for the Surgical Quality Care Program in Washington.

Q: Who needs to fill out this form?
A: Musculoskeletal surgeons applying for the Surgical Quality Care Program in Washington need to fill out this form.

Q: What is the purpose of this form?
A: The purpose of this form is to gather information from musculoskeletal surgeons to determine their eligibility for the Surgical Quality Care Program.

Q: Is this form specific to Washington?
A: Yes, this form is specific to the Surgical Quality Care Program in Washington.

Q: Are there any fees associated with this application?
A: There are no fees associated with this application.

Q: What information is required in this application?
A: The application requires information about the surgeon's contact details, credentials, practice details, surgical procedures performed, and quality improvement activities.

Q: How long does it take to process this application?
A: The processing time for this application may vary. It is recommended to contact the Washington State Department of Labor & Industries for more information.

Q: Is there any additional documentation required?
A: Yes, the application may require additional documentation such as copies of medical license, board certifications, and malpractice insurance.