This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 13-936 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 Form 13-936 Stabilization, Assessment, and Intervention Services Facility (SAIF) Eligibility and Referral?
A: Form 13-936 is a document used in Washington for assessing eligibility and making referrals for Stabilization, Assessment, and Intervention Services Facilities (SAIFs).
Q: What are Stabilization, Assessment, and Intervention Services Facilities (SAIFs)?
A: SAIFs are facilities in Washington that provide temporary residential treatment services for individuals experiencing a behavioral health crisis.
Q: Who can use Form 13-936?
A: Authorized professionals such as mental health professionals, law enforcement personnel, or social service providers can use Form 13-936.
Q: What is the purpose of Form 13-936?
A: Form 13-936 is used to determine an individual's eligibility for SAIF services and facilitate referrals to appropriate facilities.
Q: What information is required on Form 13-936?
A: The form requires basic information about the individual in crisis, including their name, contact information, and a brief description of their situation.
Form Details:
Download a printable version of DSHS Form 13-936 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.