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 Ilocano. 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 (ALTSA) do?
A: ALTSA provides services and supports to elderly and disabled individuals in Washington.
Q: What does Developmental Disabilities Administration (DDA) do?
A: DDA provides services and supports to individuals with developmental disabilities in Washington.
Q: Why is this document important?
A: This document explains the rights and responsibilities of individuals receiving services from ALTSA and DDA.
Q: Is this document available in multiple languages?
A: Yes, this document is available in Ilocano language.
Q: What are some of the rights mentioned in this document?
A: Some of the rights mentioned in this document include the right to be treated with respect, the right to privacy, and the right to participate in decisions about your services.
Q: What are some of the responsibilities mentioned in this document?
A: Some of the responsibilities mentioned in this document include providing accurate information, participating in your care plan, and treating staff with respect.
Q: Who can I contact if I have questions or concerns about my rights and responsibilities?
A: You can contact the Aging and Long-Term Support Administration or the Developmental Disabilities Administration if you have questions or concerns about your rights and responsibilities.
Q: Can my family members or advocates be involved in my care?
A: Yes, you have the right to involve family members or advocates in your care and decision-making process.
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.