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 Nepali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS?
A: DSHS stands for the Department of Social and Health Services. It is a Washington state agency that provides social and health services to residents.
Q: What is Form 03-387?
A: Form 03-387 is the DSHS Notice of Privacy Practices for Client Medical Information.
Q: What is the purpose of the notice?
A: The notice informs clients about how their medical information may be used and shared by DSHS.
Q: Who does the notice apply to?
A: The notice applies to DSHS clients in Washington state.
Q: What information does the notice cover?
A: The notice covers client medical information, including diagnosis, treatment, and payment information.
Q: What rights do clients have regarding their medical information?
A: Clients have the right to access, request changes to, and restrict the use of their medical information.
Q: How can clients file a complaint regarding their medical information?
A: Clients can file a complaint with the DSHS Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights.
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.