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Proxy Form - Washington State Department of Social and Health

Proxy Form - Washington State Department of Social and Health 2025

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The Senior Farmers Market Nutrition Program (SFMNP) aims to provide fresh fruits and vegetables to low-income seniors to enhance their health and nutrition while supporting local farmers. Seniors can appoint a representative through a proxy form if they are unable to participate fully due to disability or transportation issues. The document includes sections for personal information, representative details, and legal disclaimers regarding non-discrimination.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a mental health directive in Washington state?

A mental health advance directive is a legal written document that describes what you want to happen if your mental health problems become so severe that you need help from others. This might be when your judgment is impaired and/or you are unable to communicate effectively.

What is the email format for the Washington State Department of Health?

What is Washington State Department of Social and Health Servicess email address format? Washington State Department of Social and Health Servicess email format typically follows the pattern of First.Last@ofm.wa.gov; this email format is used 95% of the time.

How do I email DSHS Washington State?

TTY: 1-833-866-5595. Email: apscentralintake@dshs.wa.gov. Make a report online. Get more information on adult abuse and neglect.

How do I contact DSHS Washington state?

Services are available at your local Community Services Office and by phone through the Customer Service Contact Center at 877-501-2233: TTY/TDD users dial 1-800-833-6384 for Washington Relay Service.

How do I contact the Department of Health in Washington state?

Call the DOH Information Line at 1-800-525-0127. For faster service, follow the prompts and leave a message with the appropriate program.

What is a medical power of attorney in Washington state?

WSMAs durable power of attorney for health care is a legal form that allows you to write down and share what is important you as well as name your health care agent to make health care decisions for you if you cannot make your own decisions.

Who makes medical decisions if you are incapacitated in Washington state?

If you become incapacitated and do not have a living will or a durable power of attorney for health care, a family member may be responsible for making health care decisions on your behalf. Discussing this issue and making a legal document before an unexpected situation occurs can be very beneficial to any family.

What is a medical POA in Washington state?

The Washington State Medical Association advance directive is a durable power of attorney for health care, or DPOA-HC. The DPOA-HC is based on Washington state law (chapter 11.125 RCW). This legal form allows you to name your health care agent to make health care decisions for you if you cannot make your own decisions.

Proxy Form - Washington State Department of Social and Health 2025

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