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 Sort descending Form Name Form File
15-571 Enhanced Services Facility (ESF) Pre-Inspection Preparation
15-572 Enhanced Services Facility (ESF) Request for Documentation
15-573 Enhanced Services Facility (ESF) Resident List
15-574 Enhanced Services Facility (ESF) Resident Characteristic Roster and Sample Selection
15-575 Enhanced Services Facility (ESF) Resident Interview
15-576 Enhanced Services Facility (ESF) Other Contact Interview
15-577 Enhanced Services Facility (ESF) Environmental Observations
15-578 Enhanced Services Facility (ESF) Resident Record Review
15-579 Enhanced Services Facility (ESF) Staff and Administrative Record Review
15-581 Enhanced Services Facility (ESF) Notes / Worksheets