Fill and Sign Washington Legal Forms

This document is a patient attestation form for oral health connections in Washington, specifically for individuals who speak Chinese Simplified. It is used to provide proof and agreement regarding oral health services.

This type of form is used for Negative Pressure Wound Therapy in the state of Washington.

This form is used for notifying the state of Washington about other provider preventable conditions (Oppc) by healthcare providers.

This Form is used for residents of Washington state to request out-of-state medical services that are not available locally.

This form is used for applying for the medication Perjeta (Pertuzumab) J9306 in the state of Washington.

This Form is used for submitting a Pharmacy Adjustment Request in the state of Washington. It is used to request adjustments or corrections to pharmacy claims.

This form is used for making a referral for Pediatric Palliative Care (PPC) in Washington. It also serves as a notification to the appropriate parties within 5 days of the referral being made.

This form is used for submitting a pharmacy statement in the state of Washington. It is used to provide information about prescription medications and related expenses.

This form is used for post-pregnancy screening in Washington.

This Form is used for requesting additional doses of Synagis due to weight increase for clients in Washington.

This Form is used for requesting prior authorization for removable prosthetic devices in the state of Washington.

This document is a request form for the medication called Synagis in the state of Washington.

This Form is used for the Residential Substance Use Treatment Provider Agreement in Washington.

This Form is used for requesting authorization for oxygen and respiratory services in the state of Washington through the Department of Social and Health Services (DSHS).

This form is used for authorizing secure ambulance transportation to and from behavioral health services in Washington.

This form is used for requesting Tysabri (Natalizumab) medication in the state of Washington.

This Form is used for requesting authorization for vision care services in the state of Washington.

This form is used for requesting reimbursement for interim pharmacy and medical services provided to foster children in the state of Washington.

This form is used for requesting authorization for Voretigeme Neparvovec-Rzyl (Luxturna) in the state of Washington.

This Form is used for estimating the economic injury to businesses due to disasters in Washington state. It helps businesses assess their financial losses and apply for assistance.

This document is used for declaring a successor to a deceased individual in the state of Washington.

This document provides recommendations for dealing with the challenges of wildfire smoke and Covid-19 during the 2020 wildfire season in Washington. Learn how to protect yourself and stay safe during this time.

This Form is used for providing recommendations on how to protect oneself from the combined risks of wildfire smoke and Covid-19 during the 2021 wildfire season in Washington.

This form is used for applying for a restricted driver license in Washington state.

This form is used for applying for a vehicle title in the state of Washington.

This Form is used for filing a discrimination complaint in the state of Washington.

This document is used for filing a complaint about discrimination in Washington state.

This form is used for requesting a Certificate of Exemption for personal or religious reasons in Washington for individuals who are Marshallese.

This Form is used for applying for a refund of use tax paid in Washington state.

This form is used for tribal members in Washington to apply for fishing, hunting, and gathering permits.

This document is used for verifying the certification and assurances of an applicant in Washington for a specific program.

This Form is used for requesting an account as a provider outside the country in Washington.