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RFQ 0736-287 DDDS Consultative Examinations OT/PT/SLP 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 expand the list of qualified, contracted medical professionals to perform 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 August 31, 2007 Bidder Questions Due n/a Answers Released n/a Proposal Due Date n/a Solicitation Documents: Request for Qualifications Exhibit A - Application Checklist Exhibit B - Acknowledgement of Professional Qualifications & Confidentiality Exhibit C - Statement of Agreement for Providers Exhibit D - Contractor Intake Exhibit E - Sample Contract Exhibit F - OT/PT Specialty Examination Exhibit G - Speech & Language Specialty Examination Exhibit H - Audiology Examination Exhibit I - Voucher Adobe Acrobat Reader is required to view PDF files. You can download it for free. Modified: August 21, 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