DSHS Form 15-559 Adult Family Home Referral Request - Washington

DSHS Form 15-559 Adult Family Home Referral Request - Washington

What Is DSHS Form 15-559?

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 15-559?
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.

ADVERTISEMENT

Form Details:

  • Released on March 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 15-559 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 15-559 Adult Family Home Referral Request - Washington

4.8 of 5 (13 votes)
  • DSHS Form 15-559 Adult Family Home Referral Request - Washington

    1

  • DSHS Form 15-559 Adult Family Home Referral Request - Washington, Page 2

    2

  • DSHS Form 15-559 Adult Family Home Referral Request - Washington, Page 1
  • DSHS Form 15-559 Adult Family Home Referral Request - Washington, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents