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 Burmese. 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.
Q: Who does the notice of privacy practices apply to?
A: The notice of privacy practices applies to clients of the Washington State Department of Social and Health Services (DSHS).
Q: What is the purpose of the notice of privacy practices?
A: The purpose of the notice of privacy practices is to inform clients about how their medical information may be used and disclosed by DSHS.
Q: What information is included in the notice of privacy practices?
A: The notice of privacy practices explains clients' rights regarding their medical information, how DSHS may use and disclose their information, and how clients can file a complaint.
Q: Is the notice of privacy practices available in Burmese?
A: Yes, the notice of privacy practices is available in Burmese language for clients who prefer to read it in that 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.