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.
Q: What is DSHS Form 15-559?
A: DSHS Form 15-559 is the Adult Family Home Referral Request form in Washington.
Q: What is an Adult Family Home?
A: An Adult Family Home is a residential home that provides a safe and nurturing environment for adults who cannot live independently and require assistance with daily tasks.
Q: Who can request a referral using DSHS Form 15-559?
A: Individuals, family members, or providers can request a referral using DSHS Form 15-559.
Q: What information is needed on DSHS Form 15-559?
A: DSHS Form 15-559 requires information about the individual in need of placement, including their medical conditions, level of care needed, and preferences for the type of Adult Family Home.
Form Details:
Download a printable version of DSHS Form 15-559 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.