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Autistic Disorder Confirmation, DSS 13905 Instructions Dear Applicant: Please see the instructions below regarding use of the Autistic Disorder Confirmation form, DSS 13905. This form should be provided

How to fill out diagnostic criteriaautism spectrum disorder

How to fill out WA DSHS 13-905

1. Gather all necessary personal information, including your name, address, and date of birth.
2. Provide details about your household members, including their names, relationships, and incomes.
3. Indicate your current employment status and any income you receive.
4. Fill out the section regarding your housing situation, including rent or mortgage details.
5. Complete the questions related to expenses, such as utilities and medical bills.
6. Review all provided information for accuracy.
7. Sign and date the form at the indicated section.
8. Submit the form to the appropriate department for processing.

Who needs WA DSHS 13-905?

1. Individuals or families seeking assistance from the Washington State Department of Social and Health Services (DSHS).
2. Those applying for benefits such as food assistance, health care, or cash assistance.
3. Residents of Washington who require support due to low income or financial hardship.

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What is WA DSHS 13-905?

WA DSHS 13-905 is a form used by the Washington State Department of Social and Health Services for reporting certain information related to the care, treatment, or services provided to individuals.

Who is required to file WA DSHS 13-905?

Individuals or organizations that provide specific services to clients or patients in Washington state, especially those involved in health and social services, are required to file WA DSHS 13-905.

How to fill out WA DSHS 13-905?

To fill out WA DSHS 13-905, complete each section of the form accurately with the required information, ensuring that all fields are filled in according to the instructions provided by the DSHS. Submit the form as per the guidelines indicated.

What is the purpose of WA DSHS 13-905?

The purpose of WA DSHS 13-905 is to collect necessary data regarding service provision, ensuring compliance with state regulations and facilitating effective oversight of health and social services provided to individuals.

What information must be reported on WA DSHS 13-905?

WA DSHS 13-905 requires reporting of information such as client demographics, details of services provided, service dates, and any relevant assessment or outcome data relevant to the care or services rendered.