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 Bengali. 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 is the purpose of DSHS Form 03-387?
A: The purpose of this form is to inform clients about the privacy practices related to their medical information.
Q: Who is this form for?
A: This form is for clients of the Washington Department of Social and Health Services (DSHS).
Q: What language is this form in?
A: This form is in Bengali language.
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.