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Dda Autistic Disorder Confirmation Dshs 13 905 2013

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Adequate to document a diagnosis of autism consistent with DDA WAC 388-823-0500. NAME DATE OF BIRTH CLINICIAN * DATE OF REPORT * (WAC 388-823-0500 requires that the diagnostician be a neurologist, psychiatrist, developmental or behavioral pediatrician, or licensed psychologist.) demonstrated impairments in social interaction, social communication, and behavior consisted with Autistic Disorder (DSM-IV-TR code 299.00). exhibits the following DSM-IV-TR criteria (total of six or more). Please...

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What is the Dda Autistic Disorder Confirmation Dshs 13 905

The Dda Autistic Disorder Confirmation Dshs 13 905 is a specific form used in the United States to confirm the diagnosis of autism spectrum disorder (ASD) for individuals seeking developmental disability services. This form is typically required by state agencies, such as the Department of Social and Health Services (DSHS), to determine eligibility for various support programs. It serves as an official document that outlines the diagnosis and may include information from healthcare providers regarding the individual's condition.

How to Obtain the Dda Autistic Disorder Confirmation Dshs 13 905

To obtain the Dda Autistic Disorder Confirmation Dshs 13 905, individuals or guardians should start by consulting with a licensed healthcare professional who specializes in diagnosing autism. This professional will conduct a thorough assessment and provide the necessary documentation. Once the diagnosis is confirmed, the healthcare provider will complete the form, ensuring all required information is accurately filled out. After completion, the form can be submitted to the appropriate state agency for processing.

Steps to Complete the Dda Autistic Disorder Confirmation Dshs 13 905

Completing the Dda Autistic Disorder Confirmation Dshs 13 905 involves several key steps:

  • Schedule an appointment with a qualified healthcare professional for an autism assessment.
  • Gather relevant medical history and any previous evaluations that may assist in the diagnosis.
  • Attend the assessment and ensure the healthcare provider understands the individual's symptoms and challenges.
  • Once diagnosed, review the completed Dshs 13 905 form for accuracy and completeness.
  • Submit the form to the designated state agency along with any additional required documents.

Key Elements of the Dda Autistic Disorder Confirmation Dshs 13 905

The Dda Autistic Disorder Confirmation Dshs 13 905 includes several critical elements that must be accurately documented:

  • Patient Information: Includes the individual's name, date of birth, and contact information.
  • Diagnosis Details: A clear statement of the autism diagnosis, including any specific subtype if applicable.
  • Provider Information: The name and credentials of the healthcare provider completing the form.
  • Date of Evaluation: The date on which the assessment was conducted.
  • Signature: The healthcare provider must sign the form to validate the diagnosis.

Legal Use of the Dda Autistic Disorder Confirmation Dshs 13 905

The Dda Autistic Disorder Confirmation Dshs 13 905 is a legally recognized document that serves as proof of an autism diagnosis for various state services. It is essential for accessing developmental disability services, educational support, and other resources available to individuals with autism. Misuse or falsification of this form can lead to legal repercussions, including denial of services or penalties for the healthcare provider.

Eligibility Criteria for the Dda Autistic Disorder Confirmation Dshs 13 905

Eligibility for the Dda Autistic Disorder Confirmation Dshs 13 905 typically requires that the individual has a confirmed diagnosis of autism spectrum disorder by a qualified healthcare professional. Additional criteria may include:

  • Age of the individual at the time of diagnosis.
  • Documentation of the diagnosis must be current and based on established diagnostic criteria.
  • Residency in the state where the services are being requested, as state-specific regulations may apply.

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The Dda Autistic Disorder Confirmation Dshs 13 905 is a document required by the Washington State Department of Social and Health Services (DSHS) to confirm a diagnosis of autism spectrum disorder. This form is essential for individuals seeking services under the Developmental Disabilities Administration (DDA). Understanding this form is crucial for families navigating access to necessary support.

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