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 (Lao)

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 (Lao)

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.

FAQ

Q: What is DSHS Form 16-172?A: DSHS Form 16-172 is a form that provides information about your rights and responsibilities when you receive services offered by Aging and Long-Term Support Administration and Developmental Disabilities Administration in Washington.

Q: What does Aging and Long-Term Support Administration (ALTSA) do?A: ALTSA provides assistance and support to older adults and individuals with disabilities who need long-term care services in Washington.

Q: What does Developmental Disabilities Administration (DDA) do?A: DDA supports individuals with developmental disabilities and their families by providing access to services and support to help them live and participate in their communities.

Q: What are my rights when I receive services from ALTSA and DDA?A: You have the right to be treated with dignity and respect, to receive services that meet your needs, to be informed about your rights and responsibilities, and to participate in the planning and delivery of your services.

Q: What are my responsibilities when I receive services from ALTSA and DDA?A: Your responsibilities include providing accurate information, following the rules and regulations, participating in your service planning, and treating staff and other service recipients with respect.

Q: How can I access services offered by ALTSA and DDA?A: To access services, you can contact your local Aging and Disability Resource Center (ADRC) or call the Washington State Information and Referral System at 1-800-462-5435.

Q: What if I have a concern or complaint about the services I receive?A: You have the right to voice a concern or file a complaint if you are dissatisfied with the services you receive. You can contact ALTSA or DDA to discuss your concerns and seek resolution.

Q: Is there any cost associated with the services offered by ALTSA and DDA?A: The cost of services may vary depending on your income and resources. You may be required to pay a portion of the cost, but there are also programs available for those who are unable to pay.

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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 (Lao)

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