Electronic DSHS Forms

The Electronic DSHS Forms page is a centralized repository where the public can find and download official forms for Washington Department of Social and Health Services programs.

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 Form File
13-911 DDA Nursing Service Referral (Developmental Disabilities Administration)
13-915 Information for Respite Care Service Providers: Addendum to TCARE Assessment (Aging and Long-Term Support Administration)
13-917 Intensive Habilitation Services (IHS) Medical / Dental Services Authorization (Developmental Disabilities Administration)
13-919 Weekly Status Update (Competency Restoration Program) (Behavioral Rehabilitation Administration)
13-920 Outpatient Competency Restoration Program (OCRP) Discharge Summary
13-925 Request for Formulary Admission or Deletion (Behavioral Health Administration)
13-925A Non-Formulary Drug Use Request (Behavioral Health and Habilitation Administration)
13-926 Forensic (6358) Consultation (Behavioral Health Administration)
13-927 Involuntary Antipsychotic Medication Hearing Checklist (Behavioral Health Administration)
13-928 Withdrawal of Petition for Conditional Release or Unconditional Release (Behavioral Health and Habilitation Administration)