DSHS Form 10-489 Confidential Health Information Consent Agreement - Washington

What Is DSHS Form 10-489?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-489?
A: DSHS Form 10-489 is a Confidential Health Information Consent Agreement used in Washington.

Q: What is the purpose of DSHS Form 10-489?
A: The purpose of DSHS Form 10-489 is to obtain consent from individuals to share their confidential health information.

Q: Who uses DSHS Form 10-489?
A: DSHS Form 10-489 is used by the Washington State Department of Social and Health Services (DSHS).

Q: What information is considered confidential?
A: Confidential health information includes medical records and other personal health information that is protected by privacy laws.

Q: Why is consent needed for sharing confidential health information?
A: Consent is needed to ensure that individuals have control over the sharing of their confidential health information and to protect their privacy rights.

Q: Are there any exceptions to the need for consent?
A: Yes, there are exceptions to the need for consent, such as in emergencies or when required by law.

Q: How long is the consent valid?
A: The consent is typically valid for one year, unless specified otherwise.

Q: Is the consent agreement revocable?
A: Yes, individuals can revoke their consent at any time by notifying the appropriate health care providers or agencies.

Q: Can the information be shared without consent?
A: In certain circumstances, confidential health information may be shared without consent, such as for public health purposes or in response to court orders.