12624
This document is used for authorization of child care in Washington state.
This form is used for keeping a medical log in Washington state. It is available in both English and Russian languages.
This form is used for creating a care plan for a child and family team in Washington state.
This type of document is a form used by the Washington State Department of Social and Health Services (DSHS) for the Child and Family Team (CFT) to create a plan of care for a child and their family.
This Form is used for obtaining consent for the Extended Foster Care Program in Washington state in Spanish.
This Form is used for creating a Health Action Plan (HAP) in Washington State. The form provides instructions on how to fill it out and create a plan to address health needs and goals.
This document is a consent agreement for the sharing of confidential health information in Washington. It is available in Somali language.
This type of document is a checklist form used for requesting an extension of limitations in Washington state.
This form is used for creating a Health Action Plan (HAP) in the state of Washington. It helps individuals and their healthcare providers outline specific actions and goals for managing their health conditions.
This document for requesting an extension of limitations under the DSHS in Washington. It is in Russian.
This form is used for explaining the tasks involved in extending limitations for DSHS (Department of Social and Health Services) in Washington. It is available in Somali language.
This form is used to request an extension on certain limitations for clients under the age of 21 in Washington state who are Somali.
This Form is used for requesting an extension of limitation for clients under 21 years old in Washington.
This Form is used for applying for a medical exemption for the influenza vaccine in Washington state. (Spanish)
This Form is used for collecting feedback and comments from families in Washington state. It is available in Spanish and is called the DSHS Formulario 10-545 Cuestionario De Comentarios Para La Familia.
This Form is used for revisiting attachments in the DSHS (Department of Social and Health Services) Form 10-557 in Washington state.
This form is used for creating an agreement for overnight planned respite services in Washington state.
This form is used for submitting a data summary report and recommendations to the Department of Social and Health Services (DSHS) in Washington state. It is used to provide an overview of data findings and suggested actions.
This form is used for a comprehensive assessment of physical therapy in the state of Washington. It helps evaluate the functional abilities of individuals and determine the appropriate physical therapy interventions needed.
This Form is used for pre-admission screening and resident review (PASRR) determination in the state of Washington.
This Form is used for notifying the eligibility review for individuals with developmental disabilities who are 19 years old in Washington. (Spanish)
This form is used for evaluating restraints or support needed for individuals in Washington state.
This Form is used for conducting a comprehensive functional assessment of communication in the state of Washington.
This form is used to continue the evaluation of restraints and supports in Washington state.
This Form is used for providing information to become a Child Care Subsidy Provider in Washington's Child Care Subsidy Programs.