PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 15-559
for the current year.
DSHS Form 15-559 Adult Family Home Referral Request - Washington
What Is DSHS Form 15-559?
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 15-559?
A: DSHS Form 15-559 is a referral request form for Adult Family Home in Washington.
Q: Who can use DSHS Form 15-559?
A: Anyone who is looking for an Adult Family Home placement in Washington can use DSHS Form 15-559.
Q: What is an Adult Family Home?
A: An Adult Family Home is a residential home that provides care and support services to adults who are unable to live independently.
Q: What information is required in DSHS Form 15-559?
A: DSHS Form 15-559 requires information about the individual in need of care, their medical needs, preferences, and contact details.
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 15-559 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 15-559 Adult Family Home Referral Request - Washington
1
2
