Form DOC13-460ES Patient Request for Outside Health Services - Washington (English / Spanish)

Form DOC13-460ES Patient Request for Outside Health Services - Washington (English / Spanish)

What Is Form DOC13-460ES?

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.

FAQ

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.

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Form Details:

  • Released on April 25, 2023;
  • The latest edition provided by the Washington State Department of Corrections;
  • 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 Form DOC13-460ES by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.

Download Form DOC13-460ES Patient Request for Outside Health Services - Washington (English / Spanish)

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