This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 11-152 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 11-152?
A: DSHS Form 11-152 is a referral information form for Forensic Navigator to Inpatient services in Washington.
Q: What is the purpose of DSHS Form 11-152?
A: The purpose of DSHS Form 11-152 is to provide referral information for individuals needing Forensic Navigator to Inpatient services in Washington.
Q: Who is responsible for completing DSHS Form 11-152?
A: The Forensic Navigator is responsible for completing DSHS Form 11-152.
Q: Who is eligible for Forensic Navigator to Inpatient services?
A: Individuals who are court-ordered or voluntary admissions to an inpatient facility for forensic treatment are eligible for Forensic Navigator to Inpatient services.
Q: What information is required on DSHS Form 11-152?
A: DSHS Form 11-152 requires information such as the individual's name, date of birth, contact information, legal status, and reason for referral.
Q: Can a family member or friend complete DSHS Form 11-152 on behalf of the individual?
A: No, the Forensic Navigator is responsible for completing DSHS Form 11-152.
Q: What happens after DSHS Form 11-152 is completed?
A: After DSHS Form 11-152 is completed, the Forensic Navigator will review the information and determine appropriateness for Forensic Navigator to Inpatient services.
Form Details:
Download a printable version of DSHS Form 11-152 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.