(1) The written notice provided by the parties, as required by RCW
19.390.030, must include:
(a) The names of the parties and their current business addresses;
(b) Identification of all locations where health care services are currently provided by each party;
(c) A brief description of the nature and purpose of the proposed material change; and
(d) The anticipated effective date of the proposed material change.
(2) Nothing in this section prohibits the parties to a material change from voluntarily providing additional information to the attorney general.