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Form DHCS6236A Request for Access to Protected Health Information (Sacramento Regional Office) - City of Sacramento, California
What Is Form DHCS6236A?
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 of Sacramento. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DHCS6236A?
A: Form DHCS6236A is a request for access to protected health information.
Q: Who is the form addressed to?
A: The form is addressed to the Sacramento Regional Office in the City of Sacramento, California.
Q: What is the purpose of Form DHCS6236A?
A: The purpose of the form is to request access to protected health information.
Q: Is this form specific to a particular region or office?
A: Yes, this form is specific to the Sacramento Regional Office.
Form Details:
- Released on November 1, 2007;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS6236A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6236A Request for Access to Protected Health Information (Sacramento Regional Office) - City of Sacramento, California
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