PDF
Word
DSHS Form 11-121 Enhanced Case Management Referral Consideration - Washington
What Is DSHS Form 11-121?
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 11-121?
A: DSHS Form 11-121 is a form used for Enhanced Case Management Referral Consideration in Washington.
Q: What is Enhanced Case Management?
A: Enhanced Case Management is a program that provides additional support and services to individuals in need.
Q: Who can use DSHS Form 11-121?
A: DSHS Form 11-121 can be used by individuals or organizations referring someone for Enhanced Case Management.
Q: What information is required on DSHS Form 11-121?
A: DSHS Form 11-121 requires information about the individual being referred, their needs, and the reasons for the referral.
Form Details:
- Released on April 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 11-121 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
