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.
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.
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.