Washington State Department of Social and Health Services Forms

This document is a disability report form used in Washington for individuals who speak Haitian Creole. It assists in providing information about an individual's disability for the purpose of determining eligibility for disability benefits.

This Form is used to request a 21-day Competency Check in Washington state through the Department of Social and Health Services (DSHS).

This form is used for authorizing the release of a referral video to the Washington State Department of Social and Health Services.

This form is used for a mid-certification review in Washington, specifically for individuals who speak Haitian Creole. It is a statement of understanding that ensures the recipient understands their rights and responsibilities during the review process.

This document explains the privacy practices for client medical information in Washington's DSHS (Department of Social and Health Services). It is available in Gujarati language.

This document provides information about how the Washington State Department of Social and Health Services (DSHS) protects the privacy of client medical information. It explains the rights of clients regarding their medical information and how it can be used and shared. This form is used to notify clients about DSHS's privacy practices.