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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 10-658
for the current year.
DSHS Form 10-658 Specialized Habilitation 90-day (Quarterly) Report - Washington
What Is DSHS Form 10-658?
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 DSHS Form 10-658?
A: DSHS Form 10-658 is the Specialized Habilitation 90-day (Quarterly) Report used in Washington.
Q: What is the purpose of DSHS Form 10-658?
A: The purpose of DSHS Form 10-658 is to report on the progress and status of specialized habilitation services provided to individuals in Washington.
Q: Who uses DSHS Form 10-658?
A: DSHS Form 10-658 is used by service providers and caregivers who provide specialized habilitation services in Washington.
Q: How often is DSHS Form 10-658 submitted?
A: DSHS Form 10-658 is submitted every 90 days, or quarterly.
Q: What information is included in DSHS Form 10-658?
A: DSHS Form 10-658 includes information about the individual receiving specialized habilitation services, their progress, goals, and any changes in their needs or circumstances.
Form Details:
- Released on October 1, 2020;
- 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 10-658 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
