DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian)

DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian)

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 Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 16-172?
A: DSHS Form 16-172 is a document that outlines your rights and responsibilities when receiving services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington state.

Q: Who is this document for?
A: This document is for individuals in Washington state who receive services from the Aging and Long-Term Support Administration and Developmental Disabilities Administration.

Q: What does the document cover?
A: The document covers your rights and responsibilities when receiving services, including information on confidentiality, decision-making, complaints, and more.

Q: What is the purpose of this document?
A: The purpose of this document is to inform individuals receiving services about their rights and to ensure that they understand their responsibilities.

Q: Is this document available in other languages?
A: Yes, this document is available in multiple languages, including Cambodian.

Q: What should I do if I have questions or concerns about my rights and responsibilities?
A: If you have questions or concerns about your rights and responsibilities, you should contact the Aging and Long-Term Support Administration or Developmental Disabilities Administration for assistance.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in French;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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.

Download DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian)

4.6 of 5 (71 votes)
  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian)

    1

  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian), Page 2

    2

  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian), Page 3

    3

  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian), Page 1
  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian), Page 2
  • DSHS Form 16-172 Your Rights and Responsibilities When You Receive Services Offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration - Washington (Cambodian), Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents