DSHS Form 14-341 Medical / Dental Services Authorization - Washington (Korean)

DSHS Form 14-341 Medical / Dental Services Authorization - Washington (Korean)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-341?
A: DSHS Form 14-341 is a Medical/Dental Services Authorization form in Washington state.

Q: What is the purpose of DSHS Form 14-341?
A: The purpose of DSHS Form 14-341 is to authorize and request medical and dental services for eligible individuals in Washington.

Q: Who can use DSHS Form 14-341?
A: DSHS Form 14-341 can be used by individuals who are eligible for medical and dental services provided by the Washington State Department of Social and Health Services (DSHS).

Q: Is DSHS Form 14-341 available in languages other than English?
A: Yes, DSHS Form 14-341 is available in multiple languages, including Korean.

Q: What information is required on DSHS Form 14-341?
A: DSHS Form 14-341 requires information such as the applicant's personal details, income information, and medical or dental condition.

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Form Details:

  • Released on August 1, 2014;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 14-341 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 14-341 Medical / Dental Services Authorization - Washington (Korean)

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  • DSHS Form 14-341 Medical / Dental Services Authorization - Washington (Korean), Page 1
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