Washington State Department of Social and Health Services Forms

This form is used for releasing liability in Washington state, specifically for Russian speakers.

This form is used to request eligibility determination for DDA (Developmental Disabilities Administration) services in Washington state.

This Form is used for reporting on the residential services provided for children in Washington state. It is a quarterly report that must be filled out and submitted to the Department of Social and Health Services (DSHS).

This Form is used for requesting personalized overnight respite services in Washington state.

This Form is used for submitting invoices by specialized evaluation and treatment providers in Washington for services provided to clients under the Department of Social and Health Services.

This document is a Home and Community-Based Services (HCBS) waiver approval notification form for residents in Washington. It is in Tagalog.

This form is used for notifying clients about the privacy practices for their medical information in Washington state. It is available in both English and Amharic languages.

This document outlines the privacy practices for client medical information in Washington State. It is available in English and Bini Edo language.

This Form is used for DSHS (Department of Social and Health Services) in Washington state to provide a notice of privacy practices for client medical information. It is available in both English and Albanian languages.

This Form is used for informing clients about the privacy practices regarding their medical information in Washington state. It is available in English and Bosnian languages.

This document provides information about how the Washington State Department of Social and Health Services (DSHS) protects the privacy of clients' medical information. It is available in both English and Bulgarian.

This document is the DSHS Notice of Privacy Practices for Client Medical Information in Washington state. It is available in both English and Burmese languages. This form explains how your medical information may be used and disclosed by the Department of Social and Health Services (DSHS) and your rights regarding your medical privacy.

This Form is used for informing clients about the privacy practices regarding their medical information in Washington. It is available in both English and Cambodian languages.

This Form is used for notifying clients in Washington about the privacy practices for their medical information. The notice is available in both English and Chinese.

This document provides information about how the Washington Department of Social and Health Services (DSHS) protects the privacy of client medical information. It is available in both English and Farsi.

This document is the DSHS Notice of Privacy Practices for Client Medical Information in Washington state. It provides information about how client medical information is protected and used by the Washington Department of Social and Health Services. The form is available in both English and Hindi.

This form is used to notify clients in Washington about the privacy practices regarding their medical information. It is available in English and Kirundi.

This document provides information about the privacy practices regarding client medical information in Washington. It is available in English and Mongolian.

This document provides information about how the Washington State Department of Social and Health Services (DSHS) protects the privacy of client medical information. It is available in both English and Nepali.

This form is used to provide clients with information about the privacy practices related to their medical information. It is used in Washington and is available in English and Indonesian (Bahasa Indonesia).

This document provides information about the privacy practices of the Washington State Department of Social and Health Services (DSHS) regarding the medical information of clients. It is available in both English and Punjabi.

This document provides information on the privacy practices for client medical information in Washington State. It is available in both English and Russian languages.

This document provides information about the privacy practices of the Department of Social and Health Services (DSHS) in Washington. It includes details on how client medical information is handled and protected. The form is available in both English and Dari languages.

This Form is used for DSHS notice of privacy practices for client medical information in Washington. Available in English and Samoan.

This document is for clients in Washington and provides important information about the privacy practices regarding their medical information. It is available in both English and Somali languages.

This type of document is a Notice of Privacy Practices for client medical information in Washington. It is available in both English and Serbo-Croatian languages.

This type of document provides information about the privacy practices for client medical information in the state of Washington. It is available in both English and Tongan.

This document provides a notice of privacy practices for client medical information in Washington state. It is available in both English and Korean.

This document is a notice of privacy practices for client medical information in Washington. It is available in English and Ukrainian.

This document provides information about how client medical information is protected and used by the Washington State Department of Social and Health Services (DSHS). It is available in both English and Vietnamese.

This document is a notice of privacy practices for client medical information in Washington state. It is available in both English and Urdu.

This document provides information regarding the privacy practices for client medical information in Washington state. It is available in both English and Mandinka languages.

This document is a notice of privacy practices for client medical information in Washington state. It is available in both English and Albanian languages.