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RFQ 0735-257 DDDS Psychological Consultative Examinations Purpose The Department of Social and Health Services (DSHS), Division of Disability Determination Services (DDDS) administers the Social Security Disablity Insurance (SSDI), Supplemental Security Income Disablility (SSI) benefits and the DSHS Non-Grant Medical Assistance program. The purpose of this Request for Qualifications is to expand the list of qualified, contracted psychologists to conduct Consultative Psychological Examinations for clients who apply for these benefits. Contact Name Ladd Wikstrom, Contracts Specialist Contact Email ladd.wikstrom@ssa.gov Contact Phone (360) 664-7523 Issue Date August 1, 2007 Bidder Questions Due N/A Answers Released N/A Proposal Due Date N/A Solicitation Documents: RFQ Document Exhibit A - Application Checklist Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality Exhibit C - Statement of Agreement Exhibit D - Contractor Intake Exhibit E - Social Security Disability List of Preferred Psychological Tests Exhibit F - Sample Contract Exhibit G - Medical Source Statement of Ability to do Work-Related Activities Exhibit H - Voucher Adobe Acrobat Reader is required to view PDF files. You can download it for free. Modified: July 7, 2007 Contact DSHS Central Contract Services for general information about DSHS Procurements at DSHS Central Contracts@dshs.wa.gov For more ways to get in touch with the Department of Social and Health Services go to the DSHS Contact Information Web page. Technical Site Comments:  DSHS Webmaster