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Form HCA13-0031 Oral Health Connections Patient Attestation Form - Washington (Korean)
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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the HCA13-0031 Oral Health Connections Patient Attestation Form?A: It is a form related to oral health connections in Washington.
Q: What is the purpose of this form?A: It is used for patient attestation in relation to oral health services.
Q: Who needs to complete this form?A: Patients who are seeking oral health services in Washington.
Q: Is this form specific to the Korean language?A: Yes, it is available in Korean.
Q: Are there any other language options for this form?A: Yes, it is available in languages other than Korean.
Q: What should I do after completing the form?A: Submit it to the healthcare provider as instructed on the form.
Q: Is this form mandatory?A: It may be mandatory for patients seeking oral health services in Washington.
Q: Are there any eligibility requirements to use this form?A: The eligibility requirements may vary based on the specific oral health program in Washington.
Q: Can I modify the form?A: No, you should not modify the form. It must be filled out as is.
Form Details:
- Released on December 1, 2018;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form HCA13-0031 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
