DSHS Form 10-353 Documentation Request for Medical Condition and Residual Functional Capacity - Washington

What Is DSHS Form 10-353?

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 10-353?A: DSHS Form 10-353 is a documentation request form for medical condition and residual functional capacity in the state of Washington.

Q: Who uses DSHS Form 10-353?A: DSHS Form 10-353 is used by the Washington State Department of Social and Health Services (DSHS).

Q: What is the purpose of DSHS Form 10-353?A: The purpose of DSHS Form 10-353 is to gather documentation regarding an individual's medical condition and their ability to perform work-related activities.

Q: What information is requested on DSHS Form 10-353?A: DSHS Form 10-353 requests information about the individual's medical condition, symptoms, medications, and their ability to perform various activities related to employment.

Q: Do I need to fill out DSHS Form 10-353?A: If you are applying for or receiving benefits from the Washington State Department of Social and Health Services and they have requested this form, you will need to fill it out.

Q: Are there any fees associated with submitting DSHS Form 10-353?A: There are no fees associated with submitting DSHS Form 10-353.

Q: What should I do if I need assistance with DSHS Form 10-353?A: If you need assistance with DSHS Form 10-353, you can contact the Washington State Department of Social and Health Services for guidance.