This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 03-387 for the current year.
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Indonesian (Bahasa Indonesia). As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 03-387?
A: DSHS Form 03-387 is a notice of privacy practices for client medical information in Washington.
Q: What does DSHS stand for?
A: DSHS stands for the Department of Social and Health Services.
Q: What is the purpose of DSHS Form 03-387?
A: The purpose of DSHS Form 03-387 is to inform clients about how their medical information may be used and disclosed by DSHS.
Q: Why is privacy important for client medical information?
A: Privacy is important for client medical information to protect the confidentiality and security of their personal health information.
Q: Who is required to provide the notice of privacy practices?
A: DSHS and other healthcare providers are required to provide the notice of privacy practices to their clients.
Q: What information is included in the notice of privacy practices?
A: The notice of privacy practices includes information about how medical information may be used and disclosed, client rights regarding their information, and how to file a complaint.
Q: Can clients request changes to their medical information?
A: Yes, clients have the right to request changes to their medical information.
Q: What should clients do if they have concerns about the use of their medical information?
A: Clients should contact DSHS or the healthcare provider if they have concerns or would like to file a complaint.
Q: Is the notice of privacy practices available in languages other than English?
A: Yes, the notice of privacy practices may be available in other languages, such as Indonesian (Bahasa Indonesia).
Form Details:
Download a printable version of DSHS Form 03-387 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.