DSHS Form 13-692A Assisted Living Facility (Alf) Dementia Screening Tool - Washington

DSHS Form 13-692A Assisted Living Facility (Alf) Dementia Screening Tool - Washington

What Is DSHS Form 13-692A?

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 13-692A?
A: DSHS Form 13-692A is an Assisted Living Facility (ALF) Dementia Screening Tool used in Washington.

Q: What is an Assisted Living Facility (ALF)?
A: An Assisted Living Facility (ALF) is a residential option for seniors who need some assistance with daily activities.

Q: What is the purpose of DSHS Form 13-692A?
A: The purpose of DSHS Form 13-692A is to screen residents of Assisted Living Facilities for dementia.

Q: Who uses DSHS Form 13-692A?
A: Assisted Living Facilities in Washington use DSHS Form 13-692A to screen their residents.

Q: What does the Dementia Screening Tool on DSHS Form 13-692A involve?
A: The Dementia Screening Tool on DSHS Form 13-692A involves a series of questions aimed at assessing a resident's cognitive functioning.

Q: Is DSHS Form 13-692A mandatory for Assisted Living Facilities?
A: Yes, Assisted Living Facilities in Washington are required to use DSHS Form 13-692A for dementia screening.

Q: Who should I contact if I have questions about DSHS Form 13-692A?
A: You can contact the Washington State Department of Social and Health Services (DSHS) for any questions regarding DSHS Form 13-692A.

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Form Details:

  • Released on February 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 13-692A 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 13-692A Assisted Living Facility (Alf) Dementia Screening Tool - Washington

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