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 Farsi. 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 the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.
Q: What services are covered by DSHS Form 16-172?
A: DSHS Form 16-172 covers services offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration.
Q: What are some of the rights outlined in DSHS Form 16-172?
A: Some of the rights outlined in DSHS Form 16-172 include the right to be treated with respect, the right to privacy, and the right to receive services in a culturally appropriate manner.
Q: What are some of the responsibilities outlined in DSHS Form 16-172?
A: Some of the responsibilities outlined in DSHS Form 16-172 include the responsibility to provide accurate information, the responsibility to participate in creating a service plan, and the responsibility to follow the rules and regulations of the program.
Q: Who is responsible for providing the services outlined in DSHS Form 16-172?
A: The Aging and Long-Term Support Administration and Developmental Disabilities Administration are responsible for providing the services outlined in DSHS Form 16-172.
Q: Is DSHS Form 16-172 available in languages other than Farsi?
A: Yes, DSHS Form 16-172 is available in languages other than Farsi. It is available in multiple languages to ensure accessibility for all residents receiving services.
Q: Is DSHS Form 16-172 specific to Washington?
A: Yes, DSHS Form 16-172 is specific to Washington. It outlines the rights and responsibilities for residents receiving services in Washington offered by the Aging and Long-Term Support Administration and Developmental Disabilities Administration.
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.