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Form DOC13-460ES Patient Request for Outside Health Services - Washington (English / Spanish)
What Is Form DOC13-460ES?
This is a legal form that was released by the Washington State Department of Corrections - 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 Form DOC13-460ES?A: Form DOC13-460ES is a Patient Request for Outside Health Services form for residents of Washington, available in both English and Spanish.
Q: Who is this form for?A: This form is for patients in Washington who are requesting outside health services.
Q: What is the purpose of the form?A: The purpose of the form is to request approval for outside health services that are not available within the patient's current healthcare provider network.
Q: Is this form available in English and Spanish?A: Yes, the form is available in both English and Spanish.
Form Details:
- Released on April 25, 2023;
- The latest edition provided by the Washington State Department of Corrections;
- 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 Form DOC13-460ES by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.
Download Form DOC13-460ES Patient Request for Outside Health Services - Washington (English / Spanish)
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