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Documentation Request for Medical Condition residual Functional Capacities Health Care Provider: For adult clients to get public assistance (TANK), they are required to work, actively look for work,
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wwwpdffillercom529711214--dshs-10-353 dshs 10-353 is a form used for DSHS (Department of Social and Health Services) purposes.
Individuals or entities required by DSHS to provide specific information.
The form must be completed with accurate information as requested by DSHS.
The purpose of the form is to collect information required by DSHS for documentation or compliance purposes.
Information such as personal details, financial information, or other data as requested by DSHS.
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