Exhibit A1.pdf

Ex_A1_Chcklst.pdf
Preview of Exhibit A1
🔗 Source: dshs.wa.gov
📊 Size: 86 KB
👤 Author: 889123
⬇️ Downloads: 105

Summary

Application Checklist for Psychiatric services includes:
- Applicant information
- Contractor intake
- Certification and assurances
- Business license
- Certificates of insurance (professional and general liability)
- Acknowledgement of professional qualifications
- Statement of agreement
- Curriculum Vitae or resume
General liability certificate must name DSHS as additional insured and certificate holder with specific address and wording.

Description

Application Checklist for Psychiatric services includes:
- Applicant information
- Contractor intake
- Certification and assurances
- Business license
-...

Technical Information

  • File Format: PDF
  • File Size: 86 KB
  • Pages: 1
  • Language: EN
  • Author: 889123
  • Total Downloads: 105
  • Last Updated: 1 week ago

Document Overview

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