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DSHS Form 13-776 Hcs / Aaa Nursing Services Referral - Washington
What Is DSHS Form 13-776?
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 13-776?A: DSHS Form 13-776 is a form used for referral of nursing services in Washington.
Q: What does Hcs/Aaa stand for?A: Hcs/Aaa stands for Home and Community Services/Alternative Care.
Q: Who can refer nursing services using this form?A: This form can be used by healthcare professionals and other authorized individuals to refer nursing services.
Q: What is the purpose of this form?A: The purpose of this form is to request nursing services for individuals who qualify for Home and Community Based Waiver programs or Alternative Care.
Form Details:
- Released on April 1, 2018;
- 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;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 13-776 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 13-776 Hcs / Aaa Nursing Services Referral - Washington
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