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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-572
for the current year.
DSHS Form 10-572 Respite Application for Overnight Planned Respite (Oprs), Emergent and / or Planned Short-Term Stay Services at an Rhc - Washington
What Is DSHS Form 10-572?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 10-572?
A: DSHS Form 10-572 is an application form for respite services in Washington state.
Q: What is respite care?
A: Respite care is temporary care provided to individuals who have disabilities or require assistance with daily living activities.
Q: Who can apply for respite services using DSHS Form 10-572?
A: Individuals who are eligible for services at an RHC (Residential Habilitation Center) in Washington state can apply for respite services using this form.
Q: What are overnight planned respite services?
A: Overnight planned respite services refer to temporary care provided for a specific period of time, typically overnight, to give primary caregivers a break.
Q: What are emergent and/or planned short-term stay services?
A: Emergent and/or planned short-term stay services refer to temporary care provided in emergency situations or for a short period of time, to support primary caregivers.
Q: What is an RHC?
A: RHC stands for Residential Habilitation Center, which is a residential facility that provides services and support to individuals with developmental disabilities in Washington state.
Form Details:
- Released on January 1, 2019;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 10-572 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 10-572 Respite Application for Overnight Planned Respite (Oprs), Emergent and / or Planned Short-Term Stay Services at an Rhc - Washington
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