DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 10-489 for the current year.

DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

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

Form Details:

  • Released on April 1, 2019;
  • 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 10-489 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

ADVERTISEMENT

Download DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

4.7 of 5 (9 votes)
  • DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean)

    1

  • DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean), Page 2

    2

  • DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean), Page 1
  • DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington (Korean), Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents