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 Thai. 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 in Washington.
Q: What is the purpose of DSHS Form 03-387?
A: The purpose of DSHS Form 03-387 is to inform clients about how their medical information may be used and disclosed by the Washington State Department of Social and Health Services (DSHS).
Q: Who is required to provide DSHS Form 03-387?
A: DSHS and its employees are required to provide DSHS Form 03-387 to clients.
Q: What information is covered in DSHS Form 03-387?
A: DSHS Form 03-387 covers information related to the use and disclosure of client medical information, including how the information may be shared with other individuals or organizations.
Q: What rights do clients have regarding their medical information?
A: Clients have the right to request restrictions on the use or disclosure of their medical information, as well as the right to access and amend their own records.
Q: What should clients do if they have questions or concerns about their medical information?
A: Clients should contact DSHS directly if they have any questions or concerns about the use or disclosure of their medical information.
Q: Is DSHS Form 03-387 available in languages other than English?
A: Yes, DSHS Form 03-387 is available in languages other than English, including Thai.
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.