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Snohomish County Superior Court Adult Recovery Court, ___, ___, hereby consent to communication, PARTICIPANTS NAMED ATE OF BIRTH disclosure and redisclosure between members of the Snohomish County
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Read the DSHS-DBHR Program Agreement 1163-42217 carefully to understand all the terms and conditions.
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Fill out the agreement form completely and correctly with accurate information.
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Sign and date the agreement form where required.
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Submit the filled-out agreement form to the appropriate DSHS-DBHR department/authority.

Who needs dshs-dbhr program agreement 1163-42217?

01
Individuals who are participating in a program that is funded or overseen by DSHS-DBHR may need to fill out the Program Agreement 1163-42217.
02
Providers, organizations, or entities that are contracted or funded by DSHS-DBHR may also be required to complete this agreement.
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The DSHS-DBHR Program Agreement 1163-42217 is a formal contract between service providers and the Washington State Department of Social and Health Services, Division of Behavioral Health and Recovery (DBHR) outlining standards and expectations for the delivery of behavioral health services.
Service providers that deliver behavioral health services under the auspices of the Washington State DSHS DBHR are required to file this agreement.
To fill out the DSHS-DBHR Program Agreement 1163-42217, providers should carefully review the instructions provided with the agreement, complete all required sections accurately, and submit the signed document to the appropriate DSHS DBHR office.
The purpose of the DSHS-DBHR Program Agreement 1163-42217 is to establish a framework for accountability, compliance with state regulations, and the provision of quality behavioral health services to individuals in need.
Information that must be reported includes service delivery details, compliance with applicable laws and regulations, performance measures, financial reports, and client outcome data.
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