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 Indonesian (Bahasa Indonesia). As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 16-172?
A: Form 16-172 is a document that outlines your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What are the Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA)?
A: ALTSA is an organization in Washington that provides services and support for older adults and people with disabilities. DDA is another organization that specifically focuses on providing services for individuals with developmental disabilities.
Q: What services does the Aging and Long-Term Support Administration provide?
A: ALTSA provides a range of services such as long-term care, in-home care, caregiver support, and assistance with navigating the healthcare system for older adults and individuals with disabilities.
Q: What services does the Developmental Disabilities Administration provide?
A: The Developmental Disabilities Administration provides services and support for individuals with developmental disabilities, including residential placement, employment support, and help with accessing community resources.
Q: What are my rights when receiving services from these administrations?
A: When receiving services, you have the right to be treated with dignity and respect, to participate in the decision-making process, to receive accurate and understandable information, and to have your privacy protected.
Q: What are my responsibilities when receiving services?
A: Your responsibilities include providing accurate and complete information, cooperating with service providers, following service plans, and treating staff and other individuals with respect.
Q: How can I make a complaint or give feedback about the services I receive?
A: You can make a complaint or provide feedback by contacting the appropriate administration directly and following their complaint resolution 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.