DCYF Form 15-005 Esit Health Care Referral Form - Washington

What Is DCYF Form 15-005?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - 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 the DCYF Form 15-005 Esit Health Care Referral Form?A: The DCYF Form 15-005 Esit Health Care Referral Form is a document used in Washington to refer children to health care services.

Q: Who uses the DCYF Form 15-005 Esit Health Care Referral Form?A: This form is used by the Department of Children, Youth, and Families (DCYF) in Washington.

Q: What is the purpose of the DCYF Form 15-005 Esit Health Care Referral Form?A: The purpose of this form is to facilitate the referral of children to appropriate health care services.

Q: Do I need to fill out the DCYF Form 15-005 Esit Health Care Referral Form?A: If you are a health care provider or an authorized entity referring a child to health care services in Washington, you may need to fill out this form.

Q: Is the DCYF Form 15-005 Esit Health Care Referral Form specific to Washington?A: Yes, this form is specific to Washington and is used within the state.

Q: What information do I need to provide on the DCYF Form 15-005 Esit Health Care Referral Form?A: You will need to provide detailed information about the child, including their name, date of birth, contact information, and the reason for the referral.

Q: Is there a deadline for submitting the DCYF Form 15-005 Esit Health Care Referral Form?A: While there may not be a specific deadline mentioned, it is best to submit the form as soon as possible to ensure timely access to health care services for the child.

Q: Who should I contact if I have questions about the DCYF Form 15-005 Esit Health Care Referral Form?A: If you have any questions about the form, you can contact the Department of Children, Youth, and Families (DCYF) in Washington for assistance.