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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 10-572
for the current year.
DSHS Form 10-572 Respite Application for Overnight Planned Respite (Oprs), Emergent and / or Planned Short-Term Stay Services at an Rhc - Washington
What Is DSHS Form 10-572?
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 10-572?A: DSHS Form 10-572 is the application form for respite services in Washington State.
Q: What is respite care?A: Respite care is temporary relief for caregivers of individuals with disabilities or unique needs.
Q: Who can use DSHS Form 10-572?A: Caregivers of individuals with disabilities or unique needs in Washington State can use DSHS Form 10-572 to apply for respite services.
Q: What types of respite services are available?A: DSHS Form 10-572 can be used to apply for overnight planned respite (OPRS), emergent, and/or planned short-term stay services at a residential habilitation center (RHC).
Q: What is an RHC?A: Residential habilitation center (RHC) is a facility that provides residential and support services to individuals with developmental disabilities.
Q: Are there any eligibility requirements for respite services?A: Yes, there are eligibility requirements for respite services, including income and disability criteria. Please refer to the application form or contact DSHS for more information.
Q: Is there a cost for respite services?A: The cost for respite services may vary based on your income and other factors. Please refer to the application form or contact DSHS for more information.
Q: How long does it take to process the application?A: The processing time for the application may vary. It is recommended to submit the application well in advance to ensure timely respite services.
Q: Who should I contact for more information or assistance?A: For more information or assistance with DSHS Form 10-572 and respite services, you can contact your local Washington State Department of Social and Health Services (DSHS) office.
Form Details:
- Released on January 1, 2021;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- 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 10-572 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 10-572 Respite Application for Overnight Planned Respite (Oprs), Emergent and / or Planned Short-Term Stay Services at an Rhc - Washington
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