You may download some DSHS forms. These are provided only if a DSHS program requests forms to be available electronically for public use. DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. This means you can open, view, and print each form. To open, view, and print PDF forms, you need to download the free Adobe Acrobat Reader.
We do our best to ensure the links below are accurate; but, if you find a link which does not work, please contact Forms and Records Management.
Number | Form Name(asc) | File Format | |
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11-110 | Pre-ETS (Pre-Employment Transition Services) Informational Interview (Division of Vocational Rehabilitation) | ||
17-229 | Pre-Admission Screening and Resident Review (PASRR) Records Request | ||
17-321 | Pre-Admission Screening and Resident Review (PASRR) Equipment Purchase Request | ||
14-538 | Pre-Admission Screening and Resident Review (PASRR) Addendum | ||
15-382 | Positive Behavior Support Plan (PBSP) | ||
10-708 | Planning for Youth Aged 18-21 Receiving RHDY Services (Developmental Disabilities Administration) | ||
10-648 | Planned Action Notice PASRR Determination Supporting Information (Pre-Admission Screening and Resident Review) (Developmental Disabilities Administration) | ||
10-573 | Planned Action Notice - Pre-Admission Screening and Resident Review (PASRR) Determination | ||
13-021 | Physical Evaluation | ||
16-235 | Photo Release | ||
09-280B | Petition for Modification - Administrative Order |
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10-629 | Pet Record Review (Aging and Long-Term Support Administration) | ||
17-337 | Personal Service Request / Standard Referral (Developmental Disabilities Administration) | ||
17-337 | Personal Service Request / Standard Referral (Behavioral Health Administration) | ||
11-154 | Personal Pathway | ||
17-180 | Personal Information Release (Economic Services Administration) | ||
16-205 | Personal Emergency Plan Information (Developmental Disabilities Administration (DDA)) | ||
15-291 | Person Centered Service Planning and Annual Assessment Meeting |
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15-295 | Person Centered Service Plan Meeting Survey (Developmental Disabilities Administration) | ||
27-096 | Permission to Share Documents for Reimbursement of Health Care Expenses | ||
10-509 | Pediatric Symptoms Checklist (PSC-17) | ||
27-053 | Paternity Information | ||
10-643 | PASRR Request for Skilled Nursing in a Community Setting (Pre-admission Screening and Resident Review) (Developmental Disabilities Administration) | ||
10-668 | PASRR Level 2 Evaluation and Determination (Developmental Disabilities Administration) | ||
15-493 | PASRR Client Referral |