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RFQ 0735-274 DDDS Consultative Medical Examinations - Hearing/Pediatric/Vision Purpose The Department of Social and Health Services (DSHS), Division of Disability Determination Services (DDDS) administers the Social Security Disability Insurance (SSDI), Supplemental Security Income Disability (SSI) benefits and the DSHS Non-Grant Medical Assistance program. The purpose of this Request for Qualifications is to engage contractors to conduct Hearing, Pediatric, or Vision Consultative 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 June 15, 2007 Bidder Questions Due N/A Answers Released N/A Proposal Due Date N/A Solicitation Documents: Legal Notice Request for Qualifications Document Exhibit A - Application Checklist Exhibit B - Acknowledgement of Professional Qualifications & and Confidentiality Exhibit C - Statement of Agreement for Medical Providers Exhibit D - Contractor Intake Exhibit E - Sample Contract Exhibit F - Otolaryngology Scpecialty Examination Exhibit G - Pediatrics Specialty Examination Exhibit H - Vision Specialty Examination Exhibit I - Voucher Adobe Acrobat Reader is required to view PDF files. You can download it for free. Modified: June 13, 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