This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. The form may be used strictly within City and County of San Francisco. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DHCS6235A?
A: Form DHCS6235A is a Confidential Communication Request.
Q: What is the purpose of Form DHCS6235A?
A: The purpose of Form DHCS6235A is to request confidential communication related to healthcare.
Q: Who can use Form DHCS6235A?
A: Anyone who wants to request confidential communication related to healthcare can use Form DHCS6235A.
Q: Is Form DHCS6235A specific to Northern California?
A: Yes, Form DHCS6235A is specific to the Northern California region.
Q: Is Form DHCS6235A only applicable in San Francisco?
A: No, Form DHCS6235A is applicable in the City and County of San Francisco, California.
Form Details:
Download a fillable version of Form DHCS6235A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.