DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington

DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington

What Is DSHS Form 17-208A?

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 17-208A?A: DSHS Form 17-208A is a Prism Access Request for Multiple Organizations in Washington.

Q: What is Prism?A: Prism is a system used by the Washington State Department of Social and Health Services (DSHS) to manage client information and services.

Q: Who uses DSHS Form 17-208A?A: DSHS staff and authorized users of Prism use DSHS Form 17-208A.

Q: What is the purpose of DSHS Form 17-208A?A: The purpose of DSHS Form 17-208A is to request access to Prism for multiple organizations.

Q: How can I obtain DSHS Form 17-208A?A: You can obtain DSHS Form 17-208A by contacting the Washington State Department of Social and Health Services (DSHS).

Q: Is DSHS Form 17-208A specific to Washington state?A: Yes, DSHS Form 17-208A is specific to Washington state.

Q: Can individuals or organizations outside of Washington state use DSHS Form 17-208A?A: No, DSHS Form 17-208A is only for use by individuals and organizations in Washington state.

Q: Are there any fees associated with DSHS Form 17-208A?A: There are no fees associated with DSHS Form 17-208A.

Q: What information is required on DSHS Form 17-208A?A: DSHS Form 17-208A requires information such as organization details, user information, access levels, and justification for access.

Q: How long does it take to process DSHS Form 17-208A?A: The processing time for DSHS Form 17-208A varies and depends on the complexity of the request.

ADVERTISEMENT

Form Details:

  • Released on August 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 17-208A 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 17-208A Prism Access Request for Multiple Organizations - Washington

4.3 of 5 (67 votes)
  • DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington

    1

  • DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington, Page 2

    2

  • DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington, Page 1
  • DSHS Form 17-208A Prism Access Request for Multiple Organizations - Washington, Page 2
Prev 1 2 Next
ADVERTISEMENT