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UW DSO Health Care Provider Preauthorization
FOR INFORMATION
UW
DSO HEALTH CARE
PROVIDER FORM
(UW Student Completes This Section)Name (Last)(First)Student ID Number Campus’M. I.) Phone Date of Birthrate
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How to fill out uw dso health care
How to fill out uw dso health care
01
To fill out the UW DSO Health Care form, follow these steps:
02
- Visit the UW DSO Health Care website or office to obtain the necessary form.
03
- Fill out personal information such as name, address, and contact details.
04
- Provide information about your current health insurance coverage, if any.
05
- Answer questions regarding your health history, including any pre-existing conditions or medications you are currently taking.
06
- Sign and date the form.
07
- Submit the completed form to the UW DSO Health Care office or mailing address.
08
Who needs uw dso health care?
01
Anyone who is affiliated with the University of Washington (UW) and requires access to health care services may need UW DSO Health Care.
02
This includes:
03
- Students enrolled at UW
04
- Faculty members and staff employed by UW
05
- Dependents of students, faculty, or staff
06
- Retirees of UW
07
- Individuals participating in specific programs affiliated with UW
08
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What is uw dso health care?
UW DSO Health Care refers to the health care coverage provided by the University of Washington Dependent Support Organization.
Who is required to file uw dso health care?
Employees and their dependents who are eligible for health care coverage through University of Washington DSO are required to file UW DSO Health Care.
How to fill out uw dso health care?
To fill out UW DSO Health Care, eligible individuals need to complete the necessary forms and submit required documentation to the University of Washington DSO.
What is the purpose of uw dso health care?
The purpose of UW DSO Health Care is to provide health care coverage to employees and their dependents who are eligible for benefits through University of Washington DSO.
What information must be reported on uw dso health care?
Information required on UW DSO Health Care includes personal details of employees and their dependents, health care coverage options chosen, and any changes in coverage.
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