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.
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.
Form Details:
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.