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 Karen. 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: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.
Q: What services are offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration?
A: These administrations offer services for aging individuals and 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 involved in decisions regarding your services and to have access to your records.
Q: What are my responsibilities when receiving services from these administrations?
A: You are responsible for providing complete and accurate information, following the rules and regulations, and participating in the development of your care plan.
Q: What should I do if I have a concern or complaint about the services?
A: You should discuss your concern or complaint with the appropriate staff or supervisor. If the issue is not resolved, you can request a formal review or file a grievance.
Q: Who can I contact for more information?
A: For more information, you can contact the Aging and Long-Term Support Administration or the Developmental Disabilities Administration in Washington.
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.