DSHS Form 15-573 Attachment C Enhanced Services Facility (Esf) Resident List - Washington

What Is DSHS Form 15-573 Attachment C?

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 15-573 Attachment C?
A: DSHS Form 15-573 Attachment C is a form used by the Washington State Department of Social and Health Services (DSHS) to collect information about residents in an Enhanced Services Facility (ESF).

Q: What is an Enhanced Services Facility (ESF)?
A: An Enhanced Services Facility (ESF) is a type of residential facility that provides specialized services and care for individuals with mental health or behavioral health needs.

Q: What information does Attachment C collect?
A: Attachment C collects information about the residents of an ESF, including their names, birth dates, gender, and social security numbers.

Q: Why is the Resident List important?
A: The Resident List is important for DSHS to maintain accurate data on residents in ESFs for various purposes, such as planning and resource allocation.

Q: Who is responsible for completing Attachment C?
A: The staff or administrators of an ESF are responsible for completing Attachment C and submitting it to DSHS.

Q: What happens if the information on Attachment C is incorrect?
A: It is important to ensure that the information on Attachment C is accurate and up-to-date, as it may impact the eligibility and services provided to residents.

Q: Are there any privacy concerns with providing social security numbers?
A: Yes, there can be privacy concerns with providing social security numbers. It is important for ESFs to handle this information securely and follow privacy regulations.