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Form DHCS6238A Request to Amend Protected Health Information (Southern California Regional Office) - City of Los Angeles, California
What Is Form DHCS6238A?
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 Los Angeles. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DHCS6238A?
A: Form DHCS6238A is a request to amend protected health information (PHI) in the Southern California Regional Office, specifically for the City of Los Angeles, California.
Q: Why would I need to use Form DHCS6238A?
A: You would need to use Form DHCS6238A if you want to request an amendment to your protected health information (PHI) within the Southern California Regional Office in Los Angeles, California.
Q: Can I use Form DHCS6238A for other regions or cities?
A: No, Form DHCS6238A is specifically for the Southern California Regional Office in the City of Los Angeles, California.
Q: Is there a deadline for submitting Form DHCS6238A?
A: The form does not specify a deadline, but it is recommended to submit the request as soon as possible.
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 DHCS6238A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6238A Request to Amend Protected Health Information (Southern California Regional Office) - City of Los Angeles, California
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