Form DHCS6245 Request for an Accounting of Disclosures of Protected Health Information by Parent, Guardian or Personal Representative - California

What Is Form DHCS6245?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHCS6245?
A: Form DHCS6245 is a request for an accounting of disclosures of Protected Health Information (PHI) by a parent, guardian, or personal representative in the state of California.

Q: Who can use Form DHCS6245?
A: Form DHCS6245 can be used by a parent, guardian, or personal representative to request an accounting of disclosures of PHI.

Q: What is an accounting of disclosures?
A: An accounting of disclosures is a record of certain instances where your PHI has been shared with others.

Q: Why would someone request an accounting of disclosures?
A: Someone may request an accounting of disclosures to keep track of how their PHI is being shared and to ensure compliance with privacy regulations.

Q: Is there a fee for submitting Form DHCS6245?
A: No, there is no fee for submitting Form DHCS6245.

Q: Are there any special instructions for completing Form DHCS6245?
A: Yes, the form must be completed accurately and include all required information and authorizations.

Q: What happens after I submit Form DHCS6245?
A: After you submit Form DHCS6245, the entity holding your PHI will provide you with an accounting of disclosures within a certain timeframe as required by law.