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 Lithuanian. 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 you receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What services are covered in this document?
A: This document covers services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What are my rights when receiving these services?
A: You have certain rights when receiving services, which are explained in this document.
Q: What are my responsibilities when receiving these services?
A: You also have certain responsibilities when receiving services, which are outlined in this document.
Q: Why is this document important?
A: This document is important as it provides information about your rights and responsibilities when receiving services.
Q: Who is eligible for services offered by these administrations?
A: Eligibility for services offered by these administrations may vary, and you should contact them directly for more information.
Q: What if I have questions or concerns about the services?
A: If you have any questions or concerns about the services, you should reach out to the Aging and Long-Term Support Administration or Developmental Disabilities Administration for assistance.
Q: Is this document available in languages other than Lithuanian?
A: It is not clear if this document is available in languages other than Lithuanian. You may need to contact the administrations for more information.
Q: Can I refuse services?
A: In some cases, you may have the right to refuse services. This document provides information on your rights and options.
Q: Can I appeal a decision regarding my services?
A: If you disagree with a decision made regarding your services, you may have the right to appeal. This document may provide information on the appeals 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.