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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 10-232
for the current year.
DSHS Form 10-232 Provider Referral Letter for Residential Services - Washington
What Is DSHS Form 10-232?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 10-232?
A: DSHS Form 10-232 is a Provider Referral Letter for Residential Services in Washington.
Q: What is the purpose of DSHS Form 10-232?
A: The purpose of DSHS Form 10-232 is to refer individuals to residential services in Washington.
Q: Who uses DSHS Form 10-232?
A: The form is used by the Washington State Department of Social and Health Services (DSHS) and individuals seeking residential services.
Q: What information is required on DSHS Form 10-232?
A: The form requires information such as the individual's name, address, medical information, and a description of the requested residential services.
Q: Are there any fees associated with DSHS Form 10-232?
A: There may be fees associated with residential services, but specific details can be obtained from the Washington State Department of Social and Health Services (DSHS).
Q: Are there any eligibility requirements for residential services in Washington?
A: Yes, there are eligibility requirements for residential services in Washington. These requirements can be obtained from the Washington State Department of Social and Health Services (DSHS).
Form Details:
- Released on July 1, 2019;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 10-232 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 10-232 Provider Referral Letter for Residential Services - Washington
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