DOH Form 670-064 Verification of Substance Use Disorder Professional and Statement of Qualifications - Washington

DOH Form 670-064 Verification of Substance Use Disorder Professional and Statement of Qualifications - Washington

What Is DOH Form 670-064?

This is a legal form that was released by the Washington State Department of Health - 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 form DOH 670-064?
A: Form DOH 670-064 is the Verification of Substance Use Disorder Professional and Statement of Qualifications in Washington.

Q: What is the purpose of form DOH 670-064?
A: The purpose of form DOH 670-064 is to verify the qualifications of a Substance Use Disorder Professional.

Q: Who needs to fill out form DOH 670-064?
A: Substance Use Disorder Professionals in Washington need to fill out form DOH 670-064.

Q: What information is required on form DOH 670-064?
A: Form DOH 670-064 requires personal information, education information, and professional experience of the Substance Use Disorder Professional.

Q: Who should I contact if I have questions about form DOH 670-064?
A: You can contact the Department of Health in Washington if you have any questions about form DOH 670-064.

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Form Details:

  • Released on July 1, 2019;
  • The latest edition provided by the Washington State Department of Health;
  • 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 DOH Form 670-064 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 670-064 Verification of Substance Use Disorder Professional and Statement of Qualifications - Washington

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