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WA DOH 670-085 2014 free printable template

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Social Worker License Application Packet Contents: 1. 670-085 Contents List/SSN Information/Mailing Information.................................1 page 2. 670-009 General Instruction Checklist.................................................................
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How to fill out WA DOH 670-085

01
Obtain the WA DOH 670-085 form from the Washington State Department of Health website.
02
Fill out the applicant's personal information, including name, address, and contact details.
03
Provide the required details about the health care service or establishment.
04
Specify the type of licensing or certification being requested.
05
Include any additional required documentation as specified in the form instructions.
06
Review all information for accuracy and completeness.
07
Sign and date the form.
08
Submit the form along with any applicable fees to the Washington State Department of Health.

Who needs WA DOH 670-085?

01
Individuals or organizations seeking to become licensed or certified to operate a health care service or establishment in Washington State.
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WA DOH 670-085 is a form designated by the Washington State Department of Health for reporting specific health-related data.
Entities or individuals who handle specific health data as mandated by state regulations are required to file WA DOH 670-085.
To fill out WA DOH 670-085, follow the provided instructions on the form, ensuring to include all required data accurately and completely.
The purpose of WA DOH 670-085 is to collect and manage health data for public health monitoring and decision-making.
The form requires reporting information such as patient demographics, health conditions, treatment data, and any other relevant health statistics as specified.
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