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 (Kirundi)

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 (Kirundi)

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

FAQ

Q: What is form 16-172?
A: Form 16-172 is a document that outlines your rights and responsibilities when receiving services offered by Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA) in Washington.

Q: What is Aging and Long-Term Support Administration (ALTSA)?
A: ALTSA is an organization in Washington that provides services and supports to the elderly and individuals with disabilities.

Q: What is Developmental Disabilities Administration (DDA)?
A: DDA is an organization in Washington that provides services and supports to individuals with developmental disabilities.

Q: What are my rights when receiving services from ALTSA and DDA?
A: You have the right to be treated with dignity and respect, to participate in decisions about your services, to have your privacy and confidentiality protected, and to file a complaint if you believe your rights have been violated.

Q: What are my responsibilities when receiving services from ALTSA and DDA?
A: You are responsible for providing accurate and complete information, following the rules and guidelines of the program, and treating staff and other clients with respect.

Q: Can I file a complaint if I believe my rights have been violated?
A: Yes, you have the right to file a complaint if you believe your rights have been violated. You can contact ALTSA or DDA for more information on how to file a complaint.

Q: How can I protect my privacy and confidentiality when receiving services?
A: You can protect your privacy and confidentiality by only sharing information with authorized individuals, asking questions about how your information will be used, and reporting any concerns about privacy or confidentiality.

Q: Who can I contact for more information?
A: You can contact ALTSA or DDA for more information about your rights and responsibilities when receiving services.

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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 (Kirundi)

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