Forms & publications

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12-325 provider contact update form

Forms and instructions for updating contact and provider information for school-based health care services (SBHS). Completed forms must be returned to the SBHS program manager by October 31.
  • 12-325
  • Form

13-951-mental-health-professionals-attestation-form.pdf

This form is needed in order for Health Care Authority to be in compliance with the requirements of WAC 182-531-1400 (1)(a)(iii) and RCW 74.09.521. Mental Health Providers attest if they will be mental health services to adults or children.
  • 13-951
  • Form