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This form is used for providing notice of privacy practices for client medical information in Washington State. It is specifically designed for Persian-speaking individuals.

This Form is used for providing clients with information about the privacy practices related to their medical information for DSHS HIPAA Covered Programs in Washington specifically for Cambodian individuals.

This document is a petition form used in Washington State to request a modification of an administrative order, written in Persian.

This form is used for scheduling an appointment with the Division of Child Support (DCS) in Washington State to discuss a Good Cause Determination for child support issues. It is available in Persian language.

This Form is used for providing personal emergency plan information for residents of Washington who speak Somali.

This document is a checklist of practice procedures for home care assistants approved by DSHS in Washington state. It is used to ensure proper skills are practiced and performed by home care assistants.

This document provides information about the rights and responsibilities of individuals who receive Mac or Tsoa services offered by Aging and Long-Term Support Administration in Washington.

This document provides examples of medical expenses that can be claimed in Washington state for DSHS Form 17-301. It helps individuals understand what types of medical expenses qualify for assistance.

This document is a letter in Korean language used by the Department of Social and Health Services in Washington state. It is used to inform individuals about the release of their address information.

This form is used for verifying child care in Washington state. It is available in Burmese language for convenience.

This form is used for notifying changes in administrators for behavioral health agency service providers in Washington state.

This Form is used for requesting approval to remodel a Behavioral Health Agency in the state of Washington.

This Form is used for applying for a registration to handle and distribute drugs or other controlled substances in Washington state.

This Form is used for requesting the cancellation of a voluntary certification in the state of Washington. It allows individuals or organizations to voluntarily revoke their certification.

This form is used for Tribal Behavioral Health Agencies in Washington to attest their compliance with regulations for Substance Use Disorder Services, Mental Health Services, and Licensure.

This document is used for applying for a Tribal Attestation Behavioral Health Agency License in Washington state.

This Form is used for submitting a deeming application in Washington state.

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