PDF
Word
DOH Form 340-221 Fax Referral Form - Washington
What Is DOH Form 340-221?
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 DOH Form 340-221?A: DOH Form 340-221 is a Fax Referral Form.
Q: Who uses DOH Form 340-221?A: DOH Form 340-221 is used by healthcare providers in Washington.
Q: What is the purpose of DOH Form 340-221?A: The purpose of DOH Form 340-221 is to submit a referral or consultation request via fax.
Q: Is DOH Form 340-221 mandatory to use?A: The use of DOH Form 340-221 is not mandatory, but it is commonly used by healthcare providers in Washington for fax referrals.
Form Details:
- Released on October 1, 2020;
- 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 fillable version of DOH Form 340-221 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
