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 Tigrinya. 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 outlines your rights and responsibilities when receiving services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: Who does DSHS Form 16-172 apply to?
A: The form applies to individuals who receive services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What does the form cover?
A: The form covers your rights and responsibilities as a recipient of services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration.
Q: Why is it important to know my rights and responsibilities?
A: Knowing your rights and responsibilities helps ensure that you receive appropriate and fair services, and allows you to actively participate in your own care and decision-making process.
Q: Do I need to sign DSHS Form 16-172?
A: Yes, you may be required to sign the form to acknowledge that you understand your rights and responsibilities when receiving services.
Q: Can I request a translated version of DSHS Form 16-172?
A: Yes, the form is available in multiple languages, including Tigrinya.
Q: Who should I contact if I have questions about DSHS Form 16-172?
A: You can contact the Aging and Long-Term Support Administration or Developmental Disabilities Administration in Washington for any questions or concerns regarding the form.
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.