Washington Network Provider Application Packet is a set of forms and documents used by providers applying to become part of a network in Washington State. The packet contains information on the provider’s qualifications, services offered, and other relevant details. There are two types of Washington Network Provider Application Packets: one for individual providers and one for provider organizations. The individual provider packet includes a general information form, a professional information form, a service information form, a financial information form, and a criminal background check authorization form. The provider organization packet includes the same forms as the individual provider packet, but also includes a provider organization information form, a provider organization authorization form, and a provider organization financial statement. Providers must submit all forms and documents in the Washington Network Provider Application Packet in order to be considered for inclusion in the network.
Washington Network Provider Application Packet
Description
How to fill out Washington Network Provider Application Packet?
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