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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DHCS6237
for the current year.
Form DHCS6237 Request to Access Protected Health Information by Parent, Guardian or Personal Representative - California
What Is Form DHCS6237?
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 the DHCS6237 form?
A: The DHCS6237 form is a request form to access protected health information in California.
Q: Who can use the DHCS6237 form?
A: Parents, guardians, or personal representatives can use the DHCS6237 form.
Q: What is the purpose of the DHCS6237 form?
A: The purpose of the DHCS6237 form is to request access to protected health information.
Q: Is there a fee to submit the DHCS6237 form?
A: There is no fee to submit the DHCS6237 form.
Form Details:
- Released on August 1, 2017;
- 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 DHCS6237 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6237 Request to Access Protected Health Information by Parent, Guardian or Personal Representative - California
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