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 Amharic. 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 the Notice of Privacy Practices for Client Medical Information in Washington.
Q: What does DSHS stand for?
A: DSHS stands for 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 the privacy practices regarding their medical information.
Q: Who is required to provide DSHS Form 03-387?
A: Healthcare providers and entities covered by Washington state law are required to provide DSHS Form 03-387 to their clients.
Q: What language is DSHS Form 03-387 available in?
A: DSHS Form 03-387 is available in Amharic, which is the language spoken in Ethiopia.
Q: What is the importance of DSHS Form 03-387?
A: DSHS Form 03-387 is important as it helps clients understand how their medical information may be used and shared, and their rights regarding their medical privacy.
Q: Do I need to sign DSHS Form 03-387?
A: Signing DSHS Form 03-387 is not required, but it is important to read and understand the information provided in the form.
Q: Can I request a translated version of DSHS Form 03-387 in a different language?
A: Yes, if you need DSHS Form 03-387 in a different language, you can request a translated version from the healthcare provider or entity.
Q: Is my medical information protected by law?
A: Yes, your medical information is protected by HIPAA (Health Insurance Portability and Accountability Act) and other relevant laws.
Q: What should I do if I have questions or concerns about my medical privacy?
A: If you have questions or concerns about your medical privacy, you can contact the healthcare provider or entity that provided you with DSHS Form 03-387 or seek legal advice if needed.
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.