This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form DOC13-460ES?
A: Form DOC13-460ES is a Patient Request for Outside Health Services form for residents of Washington, available in both English and Spanish.
Q: Who is this form for?
A: This form is for patients in Washington who are requesting outside health services.
Q: What is the purpose of the form?
A: The purpose of the form is to request approval for outside health services that are not available within the patient's current healthcare provider network.
Q: Is this form available in English and Spanish?
A: Yes, the form is available in both English and Spanish.
Form Details:
Download a printable version of Form DOC13-460ES by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.