Washington State Department of Social and Health Services Forms

This document is for informing clients about the privacy practices surrounding their medical information in Washington. It is available in Farsi.

This type of document provides information about the privacy practices for client medical information in Washington state.

This document is a notice of privacy practices for client medical information in Washington state, specifically in the Punjabi language. It outlines how the Washington State Department of Social and Health Services (DSHS) protects the privacy of a client's medical information.

This document provides the notice of privacy practices for client medical information in Washington state. It is specifically written in Dari language.

This Form is used for employees and contractors in Washington to certify their completion of IRS Safeguard Training to ensure the protection of sensitive information.

This formulario is used in Washington to gather information about ancestors.

This form is used for providing feedback to the Washington State Department of Social and Health Services. It allows residents to share their opinions and thoughts about the department's performance and services.

This Form is used for assessing competency in administering medication in Washington state.

This form is used for survivors of domestic violence to provide feedback on their experience with the Domestic Violence Intervention Treatment in Washington state.

This document is a DSHS Form 04-220A used for completing a questionnaire about Indigenous ancestors in Washington state.

This form is used for collecting information about Indian heritage in Washington state.

This Form is used for requesting a hearing with the Washington State Department of Social and Health Services. It is available in Bosnian language to assist Bosnian-speaking residents in accessing the necessary services.

This form is used for requesting a hearing in the state of Washington, specifically for the Lao community.

This form is used for requesting a hearing in the state of Washington. It is written in the Ilocano language.

This document is a request form for a hearing with the Washington State Department of Social and Health Services (DSHS). It is available in Somali language.

This document is a feedback form for participants in a domestic violence intervention treatment program in Washington state. Participants can use this form to provide feedback on their experience and the effectiveness of the program.

This form is used for requesting a hearing in Washington state. It is available in Vietnamese.

This is a form used in Washington to request a hearing with the Department of Social and Health Services. It is available in the Tigrinya language.