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 Tamil. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 16-172?
A: Form 16-172 is a document that outlines your rights and responsibilities when you receive services offered by Aging and Disability Services Administration and Developmental Disabilities Administration in Washington.
Q: What does Aging and Disability Services Administration do?
A: Aging and Disability Services Administration provides services and supports to older adults and individuals with disabilities in Washington.
Q: What does Developmental Disabilities Administration do?
A: Developmental Disabilities Administration provides services and supports to individuals with developmental disabilities in Washington.
Q: Why is this form important?
A: This form is important because it informs you about your rights and responsibilities when receiving services from these administrations.
Q: What are some of my rights when receiving services?
A: Some of your rights include the right to be treated with respect and dignity, the right to make choices about your services, and the right to privacy and confidentiality.
Q: What are some of my responsibilities when receiving services?
A: Some of your responsibilities include providing accurate information, participating in your care planning, and being respectful of the rights of others.
Q: Who should I contact if I have questions or concerns about my rights and responsibilities?
A: You should contact Aging and Disability Services Administration or Developmental Disabilities Administration if you have any questions or concerns about your rights and responsibilities.
Q: Is this form available in languages other than English?
A: Yes, this form is also available in Tamil, as mentioned in the document title.
Q: What other services are offered by Aging and Disability Services Administration?
A: Aging and Disability Services Administration offers a range of services including case management, in-home care, and assistance with long-term care planning.
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.