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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.
DSHS Form 03-387 Dshs Notice of Privacy Practices for Client Medical Information - Washington (Samoan)
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 Samoan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 03-387?
A: DSHS Form 03-387 is the Notice of Privacy Practices for Client Medical Information in Washington (Samoan).
Q: What does the form cover?
A: The form covers the privacy practices for client medical information.
Q: Who is the form for?
A: The form is for clients receiving medical services in Washington (Samoan).
Q: Why is the form important?
A: The form is important to inform clients about their privacy rights and how their medical information may be used and disclosed.
Form Details:
- Released on May 1, 2018;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
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.
Download DSHS Form 03-387 Dshs Notice of Privacy Practices for Client Medical Information - Washington (Samoan)
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