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 Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 03-387A?
A: DSHS Form 03-387A is the Notice of Privacy Practices for Client Medical Information Without Acknowledgement - Washington (Russian).
Q: What does this form cover?
A: This form covers the privacy practices for client medical information.
Q: Is this form specific to Washington?
A: Yes, this form is specific to Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to inform clients about how their medical information may be used and disclosed.
Q: Is this form available in Russian?
A: Yes, this form is available in Russian.
Form Details:
Download a printable version of DSHS Form 03-387A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.