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WELL CHILD EXAM INFANCY: 9 MONTHS DATE (Meets EPS DT Guidelines) INFANCY: 9 MONTHS CHILD IS NAME BROUGHT IN BY: PARENT TO COMPLETE ABOUT THE CHILD ALLERGIES DATE OF BIRTH CURRENT MEDICATIONS ILLNESSES/ACCIDENTS/PROBLEMS/CONCERNS
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What is dshs 13 683?
The DSHS 13 683 form is a document used to report certain information regarding individuals receiving services from the Department of State Health Services.
Who is required to file dshs 13 683?
Healthcare providers and facilities are required to file DSHS 13 683 for individuals receiving services.
How to fill out dshs 13 683?
To fill out DSHS 13 683, healthcare providers need to enter information about the individual receiving services, the type of services provided, and any relevant details.
What is the purpose of dshs 13 683?
The purpose of DSHS 13 683 is to track and monitor the services provided to individuals by healthcare providers and facilities.
What information must be reported on dshs 13 683?
Information such as the individual's name, date of birth, services received, provider details, and any incidents or concerns must be reported on DSHS 13 683.
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