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 Armenian. 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 explains your rights and responsibilities when receiving services from Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does Aging and Long-Term Support Administration do?
A: Aging and Long-Term Support Administration provides services and support for older adults and people with disabilities in Washington.
Q: What does Developmental Disabilities Administration do?
A: Developmental Disabilities Administration provides services and support for individuals with developmental disabilities in Washington.
Q: What are my rights when receiving services from these administrations?
A: You have the right to be treated with respect, dignity, and privacy. You also have the right to be informed about your services and participate in the decision-making process.
Q: What are my responsibilities when receiving services from these administrations?
A: Your responsibilities include providing accurate information about yourself, following the rules and regulations, and participating in your care plan.
Q: Who can receive services from these administrations?
A: Services are available for older adults, people with disabilities, and individuals with developmental disabilities in Washington.
Q: Do I have to pay for these services?
A: The cost of services may vary depending on your eligibility and financial situation. You may be required to contribute towards the cost of your care.
Q: How can I apply for services?
A: You can apply for services by contacting the Aging and Long-Term Support Administration and Developmental Disabilities Administration.
Q: What if I have a complaint or concern about the services I receive?
A: If you have a complaint or concern, you can contact the Aging and Long-Term Support Administration and Developmental Disabilities Administration to address the issue.
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.