This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 10-658?
A: DSHS Form 10-658 is a Specialized Habilitation 90-day (Quarterly) Report.
Q: Who uses DSHS Form 10-658?
A: This form is used by the Washington Department of Social and Health Services (DSHS).
Q: What is the purpose of DSHS Form 10-658?
A: The purpose of this form is to report on the specialized habilitation services provided to individuals in Washington.
Q: What is Specialized Habilitation?
A: Specialized Habilitation refers to services that support individuals with developmental disabilities in acquiring, retaining, and improving self-help, socialization, and adaptive skills.
Q: How often is the DSHS Form 10-658 report submitted?
A: The report is submitted every 90 days, which corresponds to a quarterly reporting schedule.
Q: Who should fill out the DSHS Form 10-658?
A: The form should be completed by the service provider or agency responsible for providing specialized habilitation services.
Q: Is the DSHS Form 10-658 available in multiple languages?
A: Yes, the form is available in different languages to accommodate diverse populations, including Lao.
Form Details:
Download a printable version of DSHS Form 10-658 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.