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 Bengali. 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 form that provides information about your rights and responsibilities when receiving services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What services does Aging and Long-Term Support Administration offer?
A: Aging and Long-Term Support Administration offers services for older adults and individuals with disabilities, including long-term care services, home care, and support for caregivers.
Q: What services does Developmental Disabilities Administration offer?
A: Developmental Disabilities Administration offers services for individuals with developmental disabilities, including assessments, case management, and support for community living.
Q: What are my rights when receiving services from these administrations?
A: When receiving services from Aging and Long-Term Support Administration and Developmental Disabilities Administration, you have the right to be treated with respect, have your privacy protected, and participate in decision-making about your care.
Q: What are my responsibilities when receiving services from these administrations?
A: When receiving services from Aging and Long-Term Support Administration and Developmental Disabilities Administration, it is your responsibility to provide accurate information, follow the rules and regulations, and be an active participant in your care.
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.