DSHS Form 14-491 Checklist for Dda Review - Washington

DSHS Form 14-491 Checklist for Dda Review - Washington

What Is DSHS Form 14-491?

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?
A: DSHS stands for the Washington State Department of Social and Health Services.

Q: What is DDA?
A: DDA stands for the Developmental Disabilities Administration.

Q: What is Form 14-491?
A: Form 14-491 is a checklist used for DDA reviews.

Q: What is the purpose of the checklist?
A: The checklist is used to gather information and assess eligibility for DDA services.

Q: Who completes the Form 14-491?
A: The form is completed by the individual or their legal representative, along with input from professionals.

Q: What information is included in the checklist?
A: The checklist includes personal information, medical history, and functional assessments.

Q: What happens after the checklist is completed?
A: After completion, the checklist is reviewed by DDA to determine eligibility for services.

Q: Are there any fees associated with the DDA review?
A: No, there are no fees for the DDA review process.

Q: Is the checklist only for residents of Washington?
A: Yes, the checklist is specific to residents of Washington State.

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Form Details:

  • Released on October 1, 2017;
  • 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 14-491 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 14-491 Checklist for Dda Review - Washington

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