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Department of Health and Social Services Division of Senior and Disabilities ServicesAUTHORIZATION FOR RELEASE OF INFORMATION Name: Medicaid # Record # or Other ID: Date of Birth: Other Names Under

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How to fill out dshs contact usdshs

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To fill out dshs contact us form, follow these steps:

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Visit the dshs website and navigate to the contact us page.

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Fill in your personal information such as name, email address, and phone number.

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What is dshs contact usdshs?

DSHS Contact USDHSS refers to the contact information for the Washington State Department of Social and Health Services related to various forms and applications.

Who is required to file dshs contact usdshs?

Individuals or organizations that receive services or assistance from DSHS or are required to report certain information to DSHS are typically required to file.

How to fill out dshs contact usdshs?

To fill out the DSHS contact USDHSS, you should follow the provided instructions on the form, ensuring that all required fields are completed accurately.

What is the purpose of dshs contact usdshs?

The purpose of DSHS Contact USDHSS is to collect necessary information for the administration of social and health services in Washington State.

What information must be reported on dshs contact usdshs?

Required information typically includes personal identification details, types of services received, and any relevant income or financial information.

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