DSHS Form 13-917 Ccss Medical / Dental Services Authorization (Community Crisis Stabilization Services) - Washington

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DSHS Form 13-917 Ccss Medical / Dental Services Authorization (Community Crisis Stabilization Services) - Washington

What Is DSHS Form 13-917?

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 13-917?
A: DSHS Form 13-917 is a Medical/Dental Services Authorization for Community Crisis Stabilization Services in Washington.

Q: What does the form authorize?
A: The form authorizes medical and dental services for Community Crisis Stabilization Services.

Q: Who is this form for?
A: This form is for individuals receiving Community Crisis Stabilization Services in Washington.

Q: Do I need to fill out this form?
A: If you are receiving Community Crisis Stabilization Services in Washington, you may need to fill out this form to authorize medical and dental services.

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Form Details:

  • Released on December 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;

Download a printable version of DSHS Form 13-917 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 13-917 Ccss Medical / Dental Services Authorization (Community Crisis Stabilization Services) - Washington

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