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 17-321?
A: DSHS Form 17-321 is the Pre-admission Screening and Resident Review (PASRR) Equipment Purchase Request form.
Q: What is the purpose of DSHS Form 17-321?
A: The purpose of DSHS Form 17-321 is to request equipment purchases for individuals who require specialized equipment as part of their care.
Q: Who uses DSHS Form 17-321?
A: The form is used by healthcare providers and facilities in Washington to request equipment purchases for individuals.
Q: What is the Pre-admission Screening and Resident Review (PASRR) program?
A: PASRR is a program that ensures appropriate placement and services for individuals with mental illness or intellectual disabilities in nursing facilities.
Q: What kind of equipment can be requested using Form 17-321?
A: Form 17-321 can be used to request specialized equipment such as wheelchairs, lifts, communication devices, and other assistive devices.
Form Details:
Download a printable version of DSHS Form 17-321 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.