DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington

DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington

What Is DSHS Form 17-321?

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 17-321?
A: DSHS Form 17-321 is the Pre-admission Screening and Resident Review (PASRR) Equipment Purchase Request form.

Q: What is the purpose of DSHS Form 17-321?
A: The purpose of DSHS Form 17-321 is to request equipment purchases for individuals who require specialized equipment as part of their care.

Q: Who uses DSHS Form 17-321?
A: The form is used by healthcare providers and facilities in Washington to request equipment purchases for individuals.

Q: What is the Pre-admission Screening and Resident Review (PASRR) program?
A: PASRR is a program that ensures appropriate placement and services for individuals with mental illness or intellectual disabilities in nursing facilities.

Q: What kind of equipment can be requested using Form 17-321?
A: Form 17-321 can be used to request specialized equipment such as wheelchairs, lifts, communication devices, and other assistive devices.

ADVERTISEMENT

Form Details:

  • Released on July 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 17-321 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 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington

4.8 of 5 (23 votes)
  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington

    1

  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington, Page 2

    2

  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington, Page 3

    3

  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington, Page 1
  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington, Page 2
  • DSHS Form 17-321 Pre-admission Screening and Resident Review (Pasrr) Equipment Purchase Request - Washington, Page 3
Prev 1 2 3 Next
ADVERTISEMENT