This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Arabic. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that informs you of your rights and responsibilities when receiving services offered by Aging and Disability Services Administration and Developmental Disabilities Administration.
Q: What does Aging and Disability Services Administration (ADSA) do?
A: Aging and Disability Services Administration (ADSA) provides services and support to older adults, adults with disabilities, and their families in Washington.
Q: What does Developmental Disabilities Administration (DDA) do?
A: Developmental Disabilities Administration (DDA) provides services and support to individuals with developmental disabilities in Washington.
Q: What are my rights when receiving services from ADSA and DDA?
A: You have the right to be treated with respect, dignity, and privacy, and to receive services that promote your independence and well-being.
Q: What are my responsibilities when receiving services from ADSA and DDA?
A: Your responsibilities include providing accurate information, participating in the development of your service plan, and cooperating with your service providers.
Q: Is this document available in Arabic?
A: Yes, this document is available in Arabic.
Form Details:
Download a printable version of DSHS Form 16-172 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.