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How to use or fill out ID card designs - Washington State Department of Licensing with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the individual's name, date of birth (DOB), and TABS ID# in the designated fields. Ensure accuracy as this information is crucial for identification.
- Fill out the county, address, Medicaid number, phone number, and email. This information helps in processing the request efficiently.
- Provide details about the current living situation and primary contact person. Include their relationship to the individual and any relevant contact information.
- Complete sections regarding current OPWDD services and non-OPWDD services. List all services currently received along with provider names and service amounts.
- In the 'Services Requested' section, check all applicable request types and provide justifications for each service requested. Be specific about how these services support individual goals.
- Finally, ensure that a care manager signature is included at the end of the form to confirm that a person-centered conversation has occurred.
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