DSHS Form 10-658 Specialized Habilitation 90-day (Quarterly) Report - Washington (Somali)

DSHS Form 10-658 Specialized Habilitation 90-day (Quarterly) Report - Washington (Somali)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Somali. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-658?
A: DSHS Form 10-658 is a Specialized Habilitation 90-day (Quarterly) Report.

Q: What is the purpose of DSHS Form 10-658?
A: The purpose of DSHS Form 10-658 is to report on the specialized habilitationservices provided to an individual.

Q: Who is required to complete DSHS Form 10-658?
A: Providers of specialized habilitation services are required to complete DSHS Form 10-658.

Q: What information is included in DSHS Form 10-658?
A: DSHS Form 10-658 includes information about the individual receiving services, the services provided, and any changes in the individual's needs or circumstances.

Q: How often is DSHS Form 10-658 completed?
A: DSHS Form 10-658 is completed every 90 days, or quarterly.

Q: Is DSHS Form 10-658 specific to Washington state?
A: Yes, DSHS Form 10-658 is specific to Washington state.

Q: Is there a translated version of DSHS Form 10-658 in Somali?
A: Yes, there is a translated version of DSHS Form 10-658 in Somali.

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Form Details:

  • Released on March 1, 2023;
  • 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;

Download a printable version of DSHS Form 10-658 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 10-658 Specialized Habilitation 90-day (Quarterly) Report - Washington (Somali)

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