DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities - Washington (Dari)

DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities - Washington (Dari)

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 Dari. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that outlines your rights and responsibilities when receiving services from Aging and Long-Term Support Administration and Developmental Disabilities in Washington.

Q: What does Aging and Long-Term Support Administration do?
A: Aging and Long-Term Support Administration provides services and support to older adults and individuals with disabilities in Washington.

Q: What are Developmental Disabilities?
A: Developmental Disabilities refer to a group of conditions that affect physical, learning, language, or behavior abilities.

Q: What are my rights when receiving services from DSHS?
A: When receiving services from DSHS, you have the right to be treated with dignity, respect, and privacy.

Q: What are my responsibilities when receiving services from DSHS?
A: When receiving services from DSHS, it is your responsibility to provide accurate information, participate in developing your service plan, and follow program rules.

Q: What should I do if I disagree with a decision made by DSHS?
A: If you disagree with a decision made by DSHS, you have the right to request an administrative review or file an appeal.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in French;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities - Washington (Dari)

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