DSHS Form 14-462 Epilepsy Verification Request - Washington

DSHS Form 14-462 Epilepsy Verification Request - Washington

What Is DSHS Form 14-462?

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 14-462?
A: DSHS Form 14-462 is the Epilepsy Verification Request form used in Washington.

Q: What is the purpose of DSHS Form 14-462?
A: The purpose of DSHS Form 14-462 is to request verification of an individual's epilepsy condition in order to qualify for certain services or benefits.

Q: Who can use DSHS Form 14-462?
A: Anyone in Washington who has epilepsy and needs to verify their condition for eligibility purposes can use DSHS Form 14-462.

Q: What information do I need to provide on DSHS Form 14-462?
A: You will need to provide your personal information, medical history related to epilepsy, and any supporting documentation or medical records.

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Form Details:

  • Released on November 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;

Download a printable version of DSHS Form 14-462 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 14-462 Epilepsy Verification Request - Washington

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