DSHS Form 13-936 Stabilization, Assessment, and Intervention Services Facility (Saif) Eligibility and Referral - Washington

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DSHS Form 13-936 Stabilization, Assessment, and Intervention Services Facility (Saif) Eligibility and Referral - Washington

What Is DSHS Form 13-936?

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 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.

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Form Details:

  • Released on September 1, 2022;
  • 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 13-936 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 13-936 Stabilization, Assessment, and Intervention Services Facility (Saif) Eligibility and Referral - Washington

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