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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 13-911
for the current year.
DSHS Form 13-911 Dda Nursing Service Referral - Washington
What Is DSHS Form 13-911?
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 13-911 DDA Nursing Service Referral?A: DSHS Form 13-911 DDA Nursing Service Referral is a form used in Washington State to refer individuals with developmental disabilities for nursing services.
Q: Who is eligible for DSHS Form 13-911 DDA Nursing Service Referral?A: Individuals with developmental disabilities in Washington State who require nursing services are eligible for DSHS Form 13-911 DDA Nursing Service Referral.
Q: What information is required on DSHS Form 13-911 DDA Nursing Service Referral?A: DSHS Form 13-911 DDA Nursing Service Referral requires information about the individual's diagnosis, functional limitations, nursing needs, and other relevant medical information.
Q: What is the purpose of DSHS Form 13-911 DDA Nursing Service Referral?A: The purpose of DSHS Form 13-911 DDA Nursing Service Referral is to facilitate the referral process for individuals with developmental disabilities who require nursing services.
Form Details:
- Released on July 1, 2017;
- 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 13-911 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 13-911 Dda Nursing Service Referral - Washington
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