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 16-172?
A: Form 16-172 is a document that explains your rights and responsibilities when receiving services offered by Aging and Disability Services Administration and Developmental Disabilities Administration in Washington.
Q: Who is responsible for providing the services mentioned in form 16-172?
A: The services mentioned in form 16-172 are provided by Aging and Disability Services Administration and Developmental Disabilities Administration in Washington.
Q: What are my rights when receiving services from Aging and Disability Services Administration and Developmental Disabilities Administration?
A: You have the right to be treated with dignity and respect, to be fully informed about the services, and to actively participate in decisions about your care.
Q: What are my responsibilities when receiving services from Aging and Disability Services Administration and Developmental Disabilities Administration?
A: Your responsibilities include providing accurate information, following the rules and guidelines, and actively participating in the planning and evaluation of your care.
Form Details:
Download a printable version of DSHS Form 16-172 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.