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 Tagalog. 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 the form cover?
A: The form covers the privacy practices for client medical information.
Q: Who is this form for?
A: This form is for clients in Washington who receive medical services from DSHS.
Q: What is the purpose of this form?
A: The purpose of this form is to inform clients about their rights regarding the privacy of their medical information.
Q: What language is this form in?
A: This form is in Tagalog.
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.