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Medical Assistant-Phlebotomist Certification Application ...

DOH 651-007 September 2021 Medical Assistant-Phlebotomist Certification Application PacketContents: 1. 651-007 ..Contents List/SSN Information/Mailing Information ..1 page2. 651-008 .. Application Instructions pages3. 651-009 ..Credentialing page4. 651-010 .. Medical Assistant-Phlebotomist Certification Application ..5 pages5. RCW/WAC and Online Website Links ..1 pageImportant Social Security Number Information:If you have a Social Security Number, the law requires you to disclose it on your Application for a professional or occupational license.

Medical Assistant-Phlebotomist Certification Application Packet Contents: ... Application Instruction Checklist. DOH 651-008 September 2021 Page 2 of 3 2. Personal Data Questions: ... your fitness to practice the essential skills of this profession. If you answer “yes” to any questions in this section, you must provide an appropriate ...

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