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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 14-473
for the current year.
DSHS Form 14-473 Inventory for Client and Agency Planning (Icap) Letter - Washington
What Is DSHS Form 14-473?
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.
FAQ
Q: What is the DSHS Form 14-473?A: The DSHS Form 14-473 is the Washington state Inventory for Client and Agency Planning (ICAP) letter.
Q: What is the purpose of the DSHS Form 14-473?A: The DSHS Form 14-473 is used to gather information from clients and their families in order to develop a care plan and identify services needed.
Q: Who completes the DSHS Form 14-473?A: The DSHS Form 14-473 is typically completed by the client and their family members or a representative.
Q: What information is included in the DSHS Form 14-473?A: The form gathers information about the client's health, functioning, support system, and goals for care.
Q: Is the DSHS Form 14-473 mandatory?A: Yes, the DSHS Form 14-473 is a required part of the planning process for clients receiving services from DSHS.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Available in Somali;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 14-473 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
