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DSHS Form 17-259 Companion Home Client Inventory Record - Washington
What Is DSHS Form 17-259?
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 17-259?
A: DSHS Form 17-259 is the Companion Home Client Inventory Record used in Washington.
Q: Who uses DSHS Form 17-259?
A: The form is used by companion home providers in Washington.
Q: What is a companion home?
A: A companion home is a residential setting where a caregiver provides services and support to individuals who have disabilities.
Q: What is the purpose of DSHS Form 17-259?
A: The form is used to document and track the personal belongings and medical equipment of individuals living in companion homes.
Q: What information is included in DSHS Form 17-259?
A: The form includes information about the client, their personal belongings, medical equipment, and any changes or updates to their inventory.
Form Details:
- Released on November 1, 2018;
- 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 17-259 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
