This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form HCA13-711?A: Form HCA13-711 is a Treatment Questionnaire for Washington state.
Q: Who is this form for?A: This form is for residents of Washington state.
Q: What language is this form in?A: This form is in Lao language.
Q: What is the purpose of this form?A: The purpose of this form is to collect information about the medical treatment received by an individual.
Form Details:
Download a printable version of Form HCA13-711 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.