Va nurse 3 proficiency examples 2025

1. Click ‘Get Form’ to open the va nurse 3 proficiency examples in the editor.
2. Begin by filling in your full name, including last, first, and middle names. This is essential for identifying the records.
3. Provide your date of birth and any former names you may have used. This helps in accurately locating your records.
4. In the 'DISCLOSE TO' section, enter the recipient's full name, title, organization (if applicable), and contact details including address and phone number.
5. Specify the reason for disclosure. This is particularly important if you are sharing sensitive information such as mental health or substance abuse records.
6. Review the authorization section carefully. Mark all relevant DSHS programs from which you wish to disclose records.
7. Sign and date the form at the bottom. If signing on behalf of someone else, indicate your authority and attach proof if necessary.

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