DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Ukrainian)

DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Ukrainian)

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 Ukrainian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that outlines your rights and responsibilities when you receive services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

Q: What services are covered by this document?
A: This document covers services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

Q: What are my rights when I receive services from DSHS?
A: When you receive services from DSHS, you have the right to be treated with dignity and respect, to be informed of your rights, and to be involved in decisions about your care.

Q: What are my responsibilities when I receive services from DSHS?
A: When you receive services from DSHS, you are responsible for providing accurate information about yourself, following the rules and regulations, and participating in your care and treatment.

Q: Is this document available in other languages?
A: Yes, this document is available in Ukrainian.

Q: Who can I contact if I have questions or concerns about my rights and responsibilities?
A: If you have questions or concerns about your rights and responsibilities, you can contact the Aging and Long-Term Support Administration or the Developmental Disabilities Administration in Washington.

Q: What should I do if I feel that my rights are being violated?
A: If you feel that your rights are being violated, you should immediately report the issue to the Aging and Long-Term Support Administration or the Developmental Disabilities Administration in Washington.

Q: Can I make changes or updates to this document?
A: No, you cannot make changes or updates to this document. It is a standardized form provided by DSHS.

Q: Are there any fees associated with receiving services from DSHS?
A: There may be fees associated with receiving services from DSHS, depending on the specific services and your eligibility. It is best to contact DSHS directly for information about fees.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in French;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Ukrainian)

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