DSHS Form 14-431 Medical / Dental Services Authorization - Washington (Lao)

DSHS Form 14-431 Medical / Dental Services Authorization - Washington (Lao)

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 Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-431?
A: DSHS Form 14-431 is a Medical/Dental Services Authorization form in Washington (Lao).

Q: What is the purpose of DSHS Form 14-431?
A: The purpose of DSHS Form 14-431 is to authorize medical and dental services in Washington (Lao).

Q: Who needs to complete DSHS Form 14-431?
A: This form needs to be completed by individuals who require medical or dental services in Washington (Lao).

Q: What information is required on DSHS Form 14-431?
A: The form requires information such as the individual's name, contact information, healthcare provider details, and the services being authorized.

Q: Are there any specific instructions for completing DSHS Form 14-431?
A: Yes, the form provides instructions on how to complete each section accurately.

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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 14-431 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 14-431 Medical / Dental Services Authorization - Washington (Lao)

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  • DSHS Form 14-431 Medical / Dental Services Authorization - Washington (Lao), Page 1
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