Form DHCS6235 Confidential Communication Request - California

What Is Form DHCS6235?

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 DHCS6235?
A: Form DHCS6235 is the Confidential Communication Request form in California.

Q: What is the purpose of form DHCS6235?
A: Form DHCS6235 is used to request confidential communication of health information.

Q: Who can use form DHCS6235?
A: Any individual in California who wants their health information to be communicated confidentially can use form DHCS6235.

Q: What information is required on form DHCS6235?
A: Form DHCS6235 requires personal information of the individual requesting confidential communication and details about how they want their health information to be communicated.

Q: Is there a fee for submitting form DHCS6235?
A: No, there is no fee for submitting form DHCS6235.

Q: How long does it take to process form DHCS6235?
A: The processing time for form DHCS6235 may vary, but it generally takes a few weeks to be implemented by health care providers.

Q: Can I revoke my confidential communication request made on form DHCS6235?
A: Yes, you can revoke your confidential communication request at any time by notifying your health care provider in writing.

Q: Is form DHCS6235 valid in other states?
A: No, form DHCS6235 is specific to California and may not be valid in other states.