DSHS Form 27-219 Death Notification Checklist for Medical Providers - Washington

What Is DSHS Form 27-219?

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 27-219?
A: DSHS Form 27-219 is the Death Notification Checklist for Medical Providers in Washington.

Q: Who should use DSHS Form 27-219?
A: This form is intended for use by medical providers in Washington.

Q: What is the purpose of DSHS Form 27-219?
A: The form serves as a checklist for medical providers to notify the Department of Social and Health Services (DSHS) about a patient's death.

Q: What information is required on DSHS Form 27-219?
A: The form asks for various details related to the deceased individual, including demographic information, cause of death, and information about the medical provider.

Q: Is DSHS Form 27-219 mandatory for medical providers in Washington?
A: Yes, medical providers in Washington are required to use this form to notify DSHS about a patient's death.

Q: Are there any time limits for submitting DSHS Form 27-219?
A: Yes, the form should be submitted within 72 hours of the patient's death.

Q: What happens after submitting DSHS Form 27-219?
A: Once the form is submitted, DSHS will process the information and take any necessary actions, such as updating records and notifying appropriate agencies.

Q: Is there a fee for submitting DSHS Form 27-219?
A: No, there is no fee associated with submitting this form.