This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 10-572 for the current year.
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.
Q: What is DSHS Form 10-572?
A: DSHS Form 10-572 is an application form for respite services in Washington.
Q: What is respite care?
A: Respite care is a service that provides temporary relief to caregivers of individuals with disabilities or special needs.
Q: What is Overnight Planned Respite (OPRS)?
A: Overnight Planned Respite (OPRS) is a type of respite care where individuals can stay overnight in a residential facility.
Q: What are Emergent and/or Planned Short-Term Stay Services?
A: Emergent and/or Planned Short-Term Stay Services are temporary care services that can be provided in a residential facility.
Q: What is an RHC?
A: RHC stands for Residential Habilitation Center, which is a type of facility that provides care and support to individuals with disabilities.
Q: Who can apply for respite services on this form?
A: Caregivers of individuals with disabilities or special needs can apply for respite services using DSHS Form 10-572.
Q: What is the purpose of this form?
A: The purpose of DSHS Form 10-572 is to apply for Overnight Planned Respite and Emergent and/or Planned Short-Term Stay Services at an RHC in Washington.
Form Details:
Download a printable version of DSHS Form 10-572 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.