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:
Request for Qualifications Document (Updated May 2011)
- Exhibit A - Application Checklist (Updated May 2011)
- Exhibit B - Acknowledgement of Professional Qualifications & and Confidentiality
- Exhibit C - Statement of Agreement for Medical Providers
- Exhibit D - Contractor Intake
- Exhibit E - Sample Contract (Updated May 2011)
- Exhibit F - Otolaryngology Specialty Examination (Updated May 2011)
- Exhibit G - Pediatrics Specialty Examination (Updated May 2011)
- Exhibit H - Vision Specialty Examination (Updated May 2011)
- Exhibit I - Voucher
Adobe Acrobat Reader is required to view PDF files. You can download it for free.
